Individual
HOLLY FAYE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATR, LPC
Contact information
Practice address
7851 ENON DR, ROANOKE, VA 24019-1515
(540) 265-5650
Mailing address
7851 ENON DR, ROANOKE, VA 24019-1515
(540) 265-5650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004697
VA
Other
Enumeration date
04/25/2010
Last updated
06/06/2011
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