Individual
MS. HOLLY RAE WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,CCS,CADC
Contact information
Practice address
112 S IZARD ST, FORREST CITY, AR 72335-3810
(870) 630-1990
(870) 633-2624
Mailing address
112 S IZARD ST, FORREST CITY, AR 72335-3810
(870) 630-1990
(870) 633-2624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1357
AR
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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