Individual
HOLLY HEIGHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.010207
IL
101YP2500X
Professional Counselor
Primary
180011033
IL
Other
Enumeration date
09/23/2015
Last updated
08/16/2017
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