Doctor Name: | HOLLIE KROHN MCCOLLISTER |
NPI Number: | 1023259835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1433 |
Business Practice Address: | 415 W Canal St Picayune, MS - 394663912 |
Business Phone Number: | 2283263036 |
Business Fax Number: | |
Mailing Address: | 8942 Anahola Pl, DIAMONDHEAD |
State: | MS |
Postal Code: | 395254139 |
Phone Number: | 2283263036 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2009 |
NPI Last Update Date: | 03/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |