Individual
DENEISHA HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 BROCKETT RD STE 101, TUCKER, GA 30084-7326
(404) 625-5427
Mailing address
1479 BROCKETT RD STE 101, TUCKER, GA 30084-7326
(404) 625-5427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008942
GA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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