Individual
HOLLIE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8522 SIX FORKS RD, SUITE 102, RALEIGH, NC 27615-3097
(919) 900-7438
Mailing address
8522 SIX FORKS RD, SUITE 102, RALEIGH, NC 27615-3097
(919) 900-7438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20098
NC
101YM0800X
Mental Health Counselor
Primary
A10750
NC
101YP2500X
Professional Counselor
A10750
NC
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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