Russell Holloway
Russell Holloway is a Mental Health Counselor in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
215 S Palmetto AveDaytona Beach, FL 32114-4308
Phone: (386) 212-3634
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MH10816 (FL) |
|---|
Record details
| NPI number | 1790547685 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 25, 2024 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
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