| NPI | 1467514752 |
|---|---|
| Other Name | JAMIE MARTIN HOLLOMON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC37788) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA MFC37788) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA MFC37788) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA MFC37788) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-10-11 |