Individual
HOLLY LANEA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC-S
Contact information
Practice address
214 BUSH RIVER DR, FARMVILLE, VA 23901-3179
(434) 392-3187
Mailing address
5400 SAXKEY RD, SAXE, VA 23967-5746
(434) 607-7144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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