Individual
EDWARD HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
Mailing address
9340 SHAWNEE MISSION AVE, LAS VEGAS, NV 89178-5514
(702) 275-5567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C15209
NV
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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