Provider Demographics
NPI:1669657698
Name:HOLLAND, SONYA RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:RENEE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 SPARROW DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-8227
Mailing Address - Country:US
Mailing Address - Phone:910-308-3629
Mailing Address - Fax:910-425-8614
Practice Address - Street 1:318 SPARROW DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8227
Practice Address - Country:US
Practice Address - Phone:910-308-3629
Practice Address - Fax:910-425-8614
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional