Individual
DEMETRICIA ANN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Contact information
Practice address
5030 BIGNER RD, BEAUMONT, TX 77708-5203
(409) 299-9034
Mailing address
PO BOX 7281, BEAUMONT, TX 77726-7281
(409) 229-8687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
06/02/2023
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