Individual
MICHAEL JAMES HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
403 W CHERRY LN, MERIDIAN, ID 83642-1610
(208) 887-1911
Mailing address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6521
ID
Other
Enumeration date
03/06/2008
Last updated
04/11/2022
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