Individual
TERRY LYNN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2232 S SILVER LAKE RD, CASTLE ROCK, WA 98611-8021
(360) 274-3262
(360) 274-3345
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 232-8400
(360) 232-8400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO60980680
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60979601
WA
Other
Enumeration date
10/28/2019
Last updated
03/22/2024
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