Individual provider · Type 1 NPI
Madison Blake Holloway, LPC
Professional Counselor · Manahawkin, NJ
NPI number
1790616043
Active
Practice location
536 Coral Ln
Manahawkin, NJ 08050-2124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC01270200 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1790616043
Madison Blake Holloway, LPC's National Provider Identifier is 1790616043, issued on May 26, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manahawkin, NJ. The record was last updated on May 26, 2026.