Individual
EBONIE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W CHAPEL HILL ST STE 100, DURHAM, NC 27701-3080
(919) 385-0701
Mailing address
6616 PENFIELD ST, WAKE FOREST, NC 27587-3468
(919) 827-2483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12633
NC
Other
Enumeration date
12/16/2016
Last updated
02/12/2021
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