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Individual

CHAD R. HOLLENBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1630 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3134
(361) 886-6900
Mailing address
1630 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3134
(361) 886-6900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68050
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68050
LPC LICENSE
TX
Enumeration date
12/12/2011
Last updated
12/12/2011
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