Individual
HOLLIS GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
(860) 779-5437
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
(860) 779-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00496
RI
101YM0800X
Mental Health Counselor
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
05
—
GH57134
—
RI
Enumeration date
03/08/2011
Last updated
07/01/2011
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