Individual
JENNIFER R HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA
Contact information
Practice address
250 BRANCHVIEW DR NE, CONCORD, NC 28025-3415
(704) 796-8542
Mailing address
8109 CEDARBROOK DR, CHARLOTTE, NC 28215-4513
(304) 840-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15509
NC
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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