Individual
ANDREA LISA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 NORTH MAIN ST, FAMILY COUNSELING SERVICES, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286
Mailing address
10 NORTH MAIN ST, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
080014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01079267
—
NY
Enumeration date
10/12/2006
Last updated
10/22/2012
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