Individual
MS. DARESHA M HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
444 NW 96TH ST, OKLAHOMA CITY, OK 73114-6139
(405) 596-7721
Mailing address
444 NW 96TH ST, OKLAHOMA CITY, OK 73114-6139
(405) 596-7721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
OK
Enumeration date
02/01/2010
Last updated
02/01/2010
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