Provider Demographics
NPI:1003549445
Name:HOLLOWAY, JAMALYNN E (LPCC,)
Entity Type:Individual
Prefix:
First Name:JAMALYNN
Middle Name:E
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:LPCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 W 8TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-1928
Mailing Address - Country:US
Mailing Address - Phone:970-844-9004
Mailing Address - Fax:
Practice Address - Street 1:4925 W 8TH STREET RD
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-1928
Practice Address - Country:US
Practice Address - Phone:970-844-9004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0019235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional