Individual
LAURIE HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6727 SHERMAN ST, OTTER LAKE, MI 48464-9794
(810) 793-8957
Mailing address
534 FRANKLIN RD, PONTIAC, MI 48341-2527
(248) 338-0702
(248) 338-0344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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