Individual
IVANA HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 MAIN ST, EAST HARTFORD, CT 06108-3305
(860) 282-8882
Mailing address
100 BISSELL ST, MANCHESTER, CT 06040-5304
(860) 812-5737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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