Individual
HOLLY L HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CSAC-I
Contact information
Practice address
211 E SIX FORKS RD STE 117, RALEIGH, NC 27609-7753
(919) 833-8899
(919) 833-8894
Mailing address
208 AVON DR, RALEIGH, NC 27608-1629
(252) 945-9474
(919) 833-8894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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