Individual
VIRGINIA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
58 NORTH ST, ELLSWORTH, ME 04605-3347
(207) 667-6778
Mailing address
58 NORTH ST, ELLSWORTH, ME 04605-3347
(207) 667-6778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC 44
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24Z037702ME01
ANTHEM
ME
Enumeration date
03/07/2007
Last updated
07/09/2007
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