person
Mrs. Emmy Clark Holloman, MS,CRC,LCAS-P
Mental Health Counselor in Raleigh, North Carolina
NPI 1518259894

Emmy Clark Holloman is a Mental Health Counselor based in Kinston, NC and is specialized in Mental Health. Emmy Clark Holloman practices in Raleigh, NC and has the professional credentials of MS,CRC,LCAS-P. The NPI Number for Emmy Clark Holloman is 1518259894 and holds a License No. LCAS-2462 (North Carolina).

The current practice location address for Emmy Clark Holloman is 6026 Six Forks Rd, Raleigh, NC and can be reached out via phone at 919-865-8710 and via fax at 919-977-9760.

Location: 6026 Six Forks Rd, Raleigh, NC, 28501-9103
person
Provider Profile Details
NPI Number
1518259894
Provider Name
Emmy Clark Holloman
Credential
MS,CRC,LCAS-P
Provider Entity Type
Individual
Gender
Female
Address
6026 Six Forks Rd, Raleigh, NC, 28501-9103
Phone Number
919-865-8710
Fax Number
919-977-9760
Provider Enumeration Date
05/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6026 Six Forks Rd
City
State
Zip
27609-3899
Phone Number
919-865-8710
Fax Number
919-977-9760
person
Provider Business Mailing Address Details
Address
6026 Six Forks Rd
City
State
Zip
27609-3899
Phone Number
919-865-8710
Fax Number
919-977-9760
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11831 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCAS-2462 (North Carolina)
Definition
Definition to come...
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