| Doctor Name: | JESSICA DAWN HOLLOWAY |
| NPI Number: | 1790955961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | |
| Business Practice Address: | 23704 Ocean Gtwy Mardela Springs, MD - 218372101 |
| Business Phone Number: | 4106770202 |
| Business Fax Number: | |
| Mailing Address: | 23704 Ocean Gateway, MARDELA SPRINGS |
| State: | MD |
| Postal Code: | 21837 |
| Phone Number: | 4107427400 |
| Fax Number: | 4106770303 |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |