Individual provider · Type 1 NPI

Terry Lynn Holloway

Addiction (Substance Use Disorder) Counselor · Castle Rock, WA

NPI number 1851934343 Active

Practice location

2232 S Silver Lake Rd
Castle Rock, WA 98611-8021

Fax (360) 274-3345

Mailing address

1057 12th Ave
Longview, WA 98632-2509

Other practice locations

  • 621 Grade St, Kelso, WA 98626-2606 · (360) 425-9210

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCO60980680 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60979601 (WA)

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

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About NPI 1851934343

Terry Lynn Holloway's National Provider Identifier is 1851934343, issued on Oct 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Castle Rock, WA. The record was last updated on Mar 22, 2024.