Individual
DR. HOLLY MARIE COSTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6 STATE ST STE 307A, BANGOR, ME 04401-5133
(207) 517-0017
Mailing address
236 W BROADWAY, BANGOR, ME 04401-5979
(207) 517-0017
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS1281
ME
Other
Enumeration date
01/05/2009
Last updated
10/24/2017
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