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Individual

AMY UNDERWOOD HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHCA, MA

Contact information

Practice address
983 MAR DON DR, WINSTON SALEM, NC 27104-4624
(336) 923-7426
(704) 625-3617
Mailing address
5360 POINTE CT, WINSTON SALEM, NC 27103-6460
(336) 602-3242

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17882
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861625162
NPPES
Enumeration date
08/03/2022
Last updated
08/03/2022
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