Doctor Name: | MRS. HOLLY ST.PIERRE |
NPI Number: | 1033543087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS ED. LPC |
License Number: | C 1300375 |
Business Practice Address: | 3095 Kettering Blvd Moraine, OH - 454391983 |
Business Phone Number: | 9372938300 |
Business Fax Number: | |
Mailing Address: | 5576 Henderson Rd, WAYNESVILLE |
State: | OH |
Postal Code: | 450688335 |
Phone Number: | 9372723812 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2013 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C 1300375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |