Individual
TINA HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
39 KINGSTON STREET, BOSTON, MA 02111
(617) 338-9000
Mailing address
1180 BEACON ST, STE 3C, BROOKLINE, MA 02446-3806
(617) 338-9000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
217764
MA
Other
Enumeration date
10/22/2014
Last updated
01/31/2017
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