Individual
BRENDA B HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1626 FREDERICA RD, SUITE 203, ST SIMONS ISLAND, GA 31522-2529
(912) 638-0180
(912) 638-0181
Mailing address
1626 FREDERICA RD, SUITE 203, ST SIMONS ISLAND, GA 31522-2529
(912) 638-0180
(912) 638-0181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC000819
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC000819
LICENSED PROFESSIONAL CON
GA
Enumeration date
08/31/2006
Last updated
07/08/2007
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