Individual
HOLLY ANN KHIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
780 N BEND RD, SURRY, ME 04684-3325
(207) 449-9625
Mailing address
780 N BEND RD, SURRY, ME 04684-3325
(207) 449-9625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5337
ME
Other
Enumeration date
08/15/2020
Last updated
08/15/2020
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