Individual
MR. WILLIAM RALEIGH HOLLON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
498 NW 18TH ST BLDG 417, RICHMOND, IN 47374-2851
(765) 373-8704
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
LPCCCA00218290
KY
Other
Enumeration date
12/03/2019
Last updated
12/09/2020
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