Individual provider · Type 1 NPI

Kraneisha Renee Holloway, LAC

Professional Counselor · Mesa, AZ

NPI number 1023610557 Active

Practice location

4330 E University Dr
Mesa, AZ 85205-7004

Mailing address

2022 N Navada St, 1213
Chandler, AZ 85226

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLAC17711 (AZ)

Professional Counselor: Definition to come...

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About NPI 1023610557

Kraneisha Renee Holloway, LAC's National Provider Identifier is 1023610557, issued on Nov 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Nov 10, 2020.