Provider Demographics
NPI:1407359441
Name:DRUMMOND, HOLLY FELECIA (LPC, NCC, TCTSY-F)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:FELECIA
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:LPC, NCC, TCTSY-F
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:FELECIA
Other - Last Name:BARUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2184 IROQUOIS ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-2720
Mailing Address - Country:US
Mailing Address - Phone:248-974-1933
Mailing Address - Fax:
Practice Address - Street 1:2184 IROQUOIS ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-2720
Practice Address - Country:US
Practice Address - Phone:248-974-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional