Thadeus Mandrall Holloway LPC

NPI 1245597848 - Counselor - 101Y00000X

NPI Details
NPI 1245597848
Gender Male
Enumeration Date 04/19/2012
Last Updated 10/20/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
305 W SPRING ST
BOX 172
MOUNT VERNON GA, 30445-2837, US
Phone (912) 423-1000
Fax (912) 583-0115
Business Location
PO BOX 172
305 WEST SPRING STREET
MOUNT VERNON GA, 30445-0172, US
Phone (912) 423-1000
Fax (912) 583-0115
Toxanomy
Taxonomy Code 101Y00000X
License State Georgia
License Number LPC006790
Remove 1245597848 NPI Number
 

According to our database, Mr. Thadeus Mandrall Holloway LPC NPI is 1245597848, taxonomy code is 101Y00000X and license number is LPC006790, license state is located at Georgia. Thadeus Mandrall Holloway LPC physically located at 305 W Spring St, Mount Vernon GA, 30445-2837. NPI Number Thadeus Mandrall Holloway LPC has the Individual type.

Sponsored links

1245597848 NPI number is provided on an as is basis without warranty of any kind. 1245597848 is maintained by the National Plan & Provider Enumeration System. The contents of Thadeus Mandrall Holloway LPC are for informational purposes only.