| Mr Jeffrey J Holloway, | |
|
205 N Liberty St, Centreville, MD 21617-1022 | |
| (410) 758-1306 | |
| (410) 758-2133 |
| Full Name | Mr Jeffrey J Holloway |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 205 N Liberty St, Centreville, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518266816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey J Holloway, 206 N Commerce St, Centreville, MD 21617-1049 Ph: (410) 758-1306 | Mr Jeffrey J Holloway, 205 N Liberty St, Centreville, MD 21617-1022 Ph: (410) 758-1306 |
Katherine E Wright, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Ashley Hall, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 443-988-5571 | |
Miss Ashley Marie Mogle, Counselor Medicare: Medicare Enrolled Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-2211 Fax: 410-758-0698 | |
Kendall Rose Savage, LCSW-C Counselor Medicare: May Accept Medicare Assignments Practice Location: 202 Coursevall Dr Ste 104, Centreville, MD 21617 Phone: 443-262-0425 | |
Gary B. Fry, LCA066 Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Ronald L Douglas, CSC-AD, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N Liberty St, Centreville, MD 21617 Phone: 410-758-1306 Fax: 410-758-2133 | |
Kassandra Trala, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-2211 |