Individual provider · Type 1 NPI
Mark Leonard Holloway, LLPC
Professional Counselor · Jenison, MI
NPI number
1952805830
Active
Practice location
1675 Baldwin St
Jenison, MI 49428-8912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401016504 (MI) |
Professional Counselor: Definition to come...
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About NPI 1952805830
Mark Leonard Holloway, LLPC's National Provider Identifier is 1952805830, issued on Mar 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jenison, MI. The record was last updated on Apr 8, 2020.