RUSSELL C HOLLAND

MARTINSBURG, WV
NPI1972746402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WV  08-106)
Enumeration Date2009-04-14
Last Update Date2011-10-25
Business Address
MR. RUSSELL C HOLLAND CAC
99 TAVERN RD
MARTINSBURG, WV 25401-2890
Phone number: 304-263-7023
Mailing Address
MR. RUSSELL C HOLLAND CAC
PO BOX 1067
MARTINSBURG, WV 25402-1067
Phone number: 304-263-7023
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