Individual
CAROL ANN HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
3640 EXPRESS DR, SHALLOTTE, NC 28470-6501
(910) 755-5222
(910) 755-5255
Mailing address
PO BOX 1585, SHALLOTTE, NC 28459-1585
(910) 755-5222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15324
NC
106H00000X
Marriage & Family Therapist
2098
NC
Other
Enumeration date
05/09/2007
Last updated
12/31/2019
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