Provider Demographics
NPI:1306261722
Name:HOLLAND, ARONZO
Entity type:Individual
Prefix:MR
First Name:ARONZO
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7719 CAMFIELD CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-9695
Mailing Address - Country:US
Mailing Address - Phone:317-694-5388
Mailing Address - Fax:317-926-0603
Practice Address - Street 1:4954 E 56TH ST
Practice Address - Street 2:119
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-5773
Practice Address - Country:US
Practice Address - Phone:317-694-5388
Practice Address - Fax:317-926-0603
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor