Quianda Stanley Holloman LPC, CSAC

NPI 1255444790 - Counselor - 101Y00000X

NPI Details
NPI 1255444790
Gender Female
Enumeration Date 08/17/2006
Last Updated 02/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
400 MEDICAL DR
SUITE A
HAMPTON VA, 23666-1767, US
Phone (757) 788-0400
Fax (757) 788-0957
Business Location
2501 WASHINGTON AVE
1ST FLOOR
NEWPORT NEWS VA, 23607, US
Phone (757) 245-0217
Fax (757) 245-4918
Toxanomy
Taxonomy Code 101Y00000X
License State Virginia
License Number 0710101764
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According to our database, Quianda Stanley Holloman LPC, CSAC NPI is 1255444790, taxonomy code is 101Y00000X and license number is 0710101764, license state is located at Virginia. Quianda Stanley Holloman LPC, CSAC physically located at 400 Medical Dr, Hampton VA, 23666-1767. NPI Number Quianda Stanley Holloman LPC, CSAC has the Individual type.

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1255444790 NPI number is provided on an as is basis without warranty of any kind. 1255444790 is maintained by the National Plan & Provider Enumeration System. The contents of Quianda Stanley Holloman LPC, CSAC are for informational purposes only.