| Doctor Name: | MS. KATHERINE DALE LORRAINE HOLLOWAY-VANAUSDALL |
| NPI Number: | 1104934421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED MENTAL HEAL |
| License Number: | 0089941 |
| Business Practice Address: | 315 S Hudson Suite 19 Silver City, NM - 88061 |
| Business Phone Number: | 5053884497 |
| Business Fax Number: | 5055341150 |
| Mailing Address: | Po Box 1349, SILVER CITY |
| State: | NM |
| Postal Code: | 880621349 |
| Phone Number: | 5053884497 |
| Fax Number: | 5055341150 |
| NPI Enumeration Date: | 08/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0089941 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |