Provider Demographics
NPI:1366760985
Name:HOLDER, CAROLYN WEBB (LPC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:WEBB
Last Name:HOLDER
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 1:823 BROWNS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8109
Mailing Address - Country:US
Mailing Address - Phone:828-265-0692
Mailing Address - Fax:
Practice Address - Street 1:368 CLINT NORRIS RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8843
Practice Address - Country:US
Practice Address - Phone:828-265-0692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7856101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional