Individual
LILLIAN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8873 QUIMPER PL, SHREVEPORT, LA 71105-5620
(318) 686-0012
(318) 686-0012
Mailing address
8873 QUIMPER PL, SHREVEPORT, LA 71105-5620
(318) 686-0012
(318) 686-0012
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790835544
GROUP NPI
LA
Enumeration date
04/16/2007
Last updated
07/08/2007
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