Individual
HOLLY FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6739 N 16TH ST UNIT 15, PHOENIX, AZ 85016-1055
(602) 717-6185
Mailing address
6739 N 16TH ST UNIT 15, PHOENIX, AZ 85016-1055
(602) 717-6185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20161
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20161
LPC
AZ
Enumeration date
09/10/2021
Last updated
09/10/2021
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