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Individual

DONALD EUGENE HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
104 CAMBRIDGE PLAZA DR, WINSTON SALEM, NC 27104-3556
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1050
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141KE
BLUE CROSS/BLUE SHIELD
NC
01
183749
MEDCOST
NC
01
2239219
CIGNA
NC
05
6105073
NC
01
777085000
MAGELLAN BH
NC
Enumeration date
07/07/2006
Last updated
05/15/2023
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