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Larry D Holloway JR.
Peer Specialist in Seattle, Washington
NPI 1417715384

Larry D Holloway JR. is a Peer Specialist based in Seattle, WA. Larry D Holloway JR. practices in Seattle, WA. The NPI Number for Larry D Holloway JR. is 1417715384 and holds a License No. (Washington).

The current practice location address for Larry D Holloway JR. is 2120 S Plum St # A, Seattle, WA and can be reached out via phone at 206-441-3329.

Location: 2120 S Plum St # A, Seattle, WA, 98144-4539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417715384
Provider Name
Larry D Holloway JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2120 S Plum St # A, Seattle, WA, 98144-4539
Phone Number
206-441-3329
Fax Number
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2120 S Plum St # A
City
Seattle
State
Washington
Zip
98144-4539
Phone Number
206-441-3329
Fax Number
person
Provider Business Mailing Address Details
Address
2120 S Plum St # A
City
Seattle
State
Washington
Zip
98144-4539
Phone Number
206-441-3329
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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