| Doctor Name: | MS. FAWN M HOLLAND |
| NPI Number: | 1013146638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 5 Court St Suite 42, County Office Building Norwich, NY - 138151695 |
| Business Phone Number: | 6073371600 |
| Business Fax Number: | 6073344519 |
| Mailing Address: | 576 E Afton Rd, BAINBRIDGE |
| State: | NY |
| Postal Code: | 137332203 |
| Phone Number: | 6079672713 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2009 |
| NPI Last Update Date: | 03/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |