Individual
MS. ELIZABETH ANN HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ICADC
Contact information
Practice address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(678) 494-5700
(678) 494-5703
Mailing address
106 ROLLINGWOOD CIR NW, ROME, GA 30165-1732
(706) 767-3296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
829781
GA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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