Individual
MS. LAURA A. HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, LCPC, NCC
Contact information
Practice address
3355 ST JOHNS LN, ELLICOTT CITY, MD 21042
(443) 896-3945
(410) 480-0110
Mailing address
3355 ST JOHNS LN, ELLICOTT CITY, MD 21042
(443) 896-3945
(410) 480-0110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12269
MD
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
01/31/2020
Last updated
07/22/2023
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