Individual
PATRICIA HOLLISTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1208 NEW YORK AVE, ALAMOGORDO, NM 88310-6728
(505) 437-8865
(505) 437-1446
Mailing address
PO BOX 666, CLOUDCROFT, NM 88317-0666
(505) 437-8865
(505) 437-1446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4562
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B8863
—
NM
Enumeration date
06/19/2006
Last updated
07/08/2007
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