Provider Demographics
NPI:1053522128
Name:HOLLAND, CHERYL JOY (CAC II)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:JOY
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10812 W EVANS AVE
Mailing Address - Street 2:#15
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2064
Mailing Address - Country:US
Mailing Address - Phone:303-810-7815
Mailing Address - Fax:
Practice Address - Street 1:200 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1621
Practice Address - Country:US
Practice Address - Phone:303-765-2480
Practice Address - Fax:303-765-2492
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)