Most Relevant Information
Provider Data
| NPI Number: | 1003507138 |
| Provider Name: | HOLLENE LYNN DOUB |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2023 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
1206 QUARRIER ST
CHARLESTON
WV
253011843
Practice Location Phone/Fax
| Phone: | 3044446090 |
| Fax: |
Provider Mailing Location
1206 QUARRIER ST
CHARLESTON
WV
253011843
Provider Mailing Phone/Fax
| Phone: | 3044446090 |
| Fax: |