Individual
MR. DALE THOMAS HOLLINGSHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, LMHC
Contact information
Practice address
30 GENERAL ST, LAWRENCE, MA 01840-1809
(978) 683-3128
Mailing address
35 PUTNAM RD, NORTH ANDOVER, MA 01845-3713
(978) 688-1081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH3161
MA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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