Individual
MS. LORRAINE A HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
20 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 292-8770
(845) 292-4206
Mailing address
PO BOX 34, FERNDALE, NY 12734-0034
(845) 747-4347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19885
NY
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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