Individual
LISA MARIE HOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ATR LPCC-S
Contact information
Practice address
26777 LORAIN RD STE 412, NORTH OLMSTED, OH 44070-3224
(404) 707-6195
Mailing address
1619 ONONDAGA AVE, LAKEWOOD, OH 44107-4310
(216) 337-1874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0600606
OH
101YP2500X
Professional Counselor
Primary
0606006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211574
—
OH
05
—
0414032
—
OH
Enumeration date
03/14/2011
Last updated
04/03/2024
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