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Individual

MRS. EMMY CLARK HOLLOMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CRC, LCAS-P

Contact information

Practice address
6026 SIX FORKS RD, RALEIGH, NC 27609-3899
(919) 865-8710
(919) 977-9760
Mailing address
1700 JONES SMITH RD, KINSTON, NC 28501-9103
(336) 964-0082

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-2462
NC
101YM0800X
Mental Health Counselor
Primary
11831
NC

Other

Enumeration date
05/05/2011
Last updated
02/22/2022
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