Individual
MS. EMILY ELIZABETH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
700 LAKE AVE, MANCHESTER, NH 03103-2734
(603) 622-3020
Mailing address
555 AUBURN STREET, MANCHESTER, NH 03103
(603) 623-8863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1110
NH
101YM0800X
Mental Health Counselor
Primary
1216
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106586
—
NH
Enumeration date
11/07/2016
Last updated
04/12/2024
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