Individual
ROBIN HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 GRANDVIEWROAD, BEAVER, WV 25813
(304) 250-4210
Mailing address
PO BOX 952, FAYETTEVILLE, WV 25840-0952
(304) 640-4832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174141121
—
WV
Enumeration date
07/22/2022
Last updated
07/22/2022
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