Holly Lillian Doe, CMHC M.S.
Counselor, Mental Health in Freeville, NY. Individual provider (NPI-1).
NPI number1164062089
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1164062089
- Entity type
- Individual (NPI-1)
- Name
- Holly Lillian Doe
- Credential
- CMHC M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2020
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | P100491 | NY | Yes |
Practice location
380 Freeville RdFreeville, NY 13068-9684
Phone 607-708-4510
Mailing address
380 Freeville RdFreeville, NY 13068-9684
Phone 607-708-4510
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