Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 4429 | NC |
N | 101YP2500X | Professional Counselor | 4429 | NC |
NPI | 1104037720 |
---|---|
Provider Name | Dr. William Mark Holland |
First Address | Raleigh, NC 27609-7119 |
Second Address | Raleigh, NC 27609-7119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 08/07/2007 |