Individual
SAMANTHA NICOLE HOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 HAY ST, FAYETTEVILLE, NC 28305-5313
(910) 438-0939
Mailing address
PO BOX 3777, PEMBROKE, NC 28372-3777
(910) 827-4621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
1041C0700X
Clinical Social Worker
—
NC
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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