Individual
EBONY HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S ACADIAN THRUWAY, BATON ROUGE, LA 70708-8924
(225) 960-1662
Mailing address
7615 MAGNOLIA BEACH RD APT 10I, DENHAM SPRINGS, LA 70726-8924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
11/13/2019
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