Individual
MICKIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LBSW
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(505) 393-3168
(505) 397-4659
Mailing address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(505) 393-3168
(505) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
006101
NM
103TS0200X
School Psychologist
Primary
280435
NM
104100000X
Social Worker
B0424
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46300
—
NM
Enumeration date
11/07/2006
Last updated
09/11/2025
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