MR. RUSSELL C HOLLAND CAC
NPI 1972746402
Counselor - Addiction (Substance Use Disorder) in Martinsburg, WV

Active since April 14, 2009
99 TAVERN RD, MARTINSBURG, WV 25401(304) 263-7023(304) 264-0508 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Russell C Holland Cac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSSELL C HOLLAND CAC (NPI 1972746402) is an individual addiction (substance use disorder) provider in Martinsburg, West Virginia, licensed in West Virginia (08-106) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1972746402
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RUSSELL C HOLLANDCredential: CAC
Location Address99 TAVERN RDMartinsburg, WV 25401-2890
Mailing AddressPo Box 1067Martinsburg, WV 25402-1067 · (304) 263-7023 · Fax (304) 264-0508
Fax(304) 264-0508
Sole ProprietorNo
Enumeration DateApril 14, 2009
Last NPPES UpdateOctober 25, 2011
NPI 1972746402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WV · 08-106
99 TAVERN RD, Martinsburg, WV 25401

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Clinic/Center (Federally Qualified Health Center (FQHC))
99 TAVERN RD
MARTINSBURG, WV 25401
Psychiatry & Neurology (Child & Adolescent Psychiatry)
99 TAVERN RD
MARTINSBURG, WV 25401
Social Worker (Clinical)
99 TAVERN RD
MARTINSBURG, WV 25401
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Obstetrics & Gynecology
99 TAVERN RD
MARTINSBURG, WV 25401
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Holland's NPI number?

The NPI number for Russell Holland is 1972746402. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Russell Holland located?

Russell Holland practices at 99 Tavern Rd, Martinsburg, WV 25401. The listed phone number is (304) 263-7023.

What is Russell Holland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Russell Holland was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.