Individual provider · Type 1 NPI

Kevin Holly

Addiction (Substance Use Disorder) Counselor · Santa Maria, CA

NPI number 1720455207 Active

Practice location

301 S Miller St, Suite 108
Santa Maria, CA 93454-5205

Fax (805) 739-0237

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1720455207

Kevin Holly's National Provider Identifier is 1720455207, issued on Aug 31, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on Aug 31, 2015.