Individual
HOLLY CLAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CENTER ST UNIT 8, WOLFEBORO FALLS, NH 03896-7600
(603) 569-5818
Mailing address
PO BOX 271, WOLFEBORO, NH 03894-0271
(603) 569-5818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
449
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y001491NH03
ANTHEM
—
05
—
3076115
—
NH
Enumeration date
04/03/2007
Last updated
08/28/2013
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