Individual
CORIE J HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPPSS
Contact information
Practice address
102 GINN ALTMAN AVE STE C, HAMPTON, SC 29924-3963
(803) 943-2800
(803) 943-2267
Mailing address
102 GINN ALTMAN AVE STE C, HAMPTON, SC 29924-3963
(803) 943-2800
(803) 943-2267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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