| Doctor Name: | HOLLY ANN STUART-WAKEFIELD |
| NPI Number: | 1114092954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LCMHC |
| License Number: | 068-0000511 |
| Business Practice Address: | 92 Fairfield St Saint Albans, VT - 054781728 |
| Business Phone Number: | 8025242002 |
| Business Fax Number: | 8025271915 |
| Mailing Address: | 92 Fairfield St, SAINT ALBANS |
| State: | VT |
| Postal Code: | 054781728 |
| Phone Number: | 8025242002 |
| Fax Number: | 8025271915 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068-0000511 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |