Individual
MRS. BETH MUMFORD HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W MILLBROOK RD, SUITE A, RALEIGH, NC 27609-4574
(919) 848-2100
(919) 848-2009
Mailing address
124 DOGWOOD LN, WAKE FOREST, NC 27587-9774
(919) 810-2689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9790
NC
Other
Enumeration date
06/29/2013
Last updated
07/17/2013
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