| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEROME HOLLOMON | 1467045237 | 2024-01-06 |
Jerome Hollomon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467045237. Registration indicates Jerome Hollomon is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Jerome Hollomon LSW |
| Practice Office Address | 1705 S DOUGLAS ST PHILADELPHIA, PA US |
| Practice Office Telephone | 2156686879 |
| Mailing Address | 1705 S DOUGLAS ST PHILADELPHIA, PA 191451634 US |
| Business Telephone | 2675855628 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1705 S Douglas St | Philadelphia, PA 191451634 | 2156686879 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | SW136160
PA |