Doctor Name: | MS. JOAN ARLINE HOLLAND |
NPI Number: | 1225004666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LMHC |
License Number: | MH4487 |
Business Practice Address: | 501 Centre St Suite 117 Fernandina Beach, FL - 320343936 |
Business Phone Number: | 9047531563 |
Business Fax Number: | 9044910478 |
Mailing Address: | Po Box 916, FERNANDINA BEACH |
State: | FL |
Postal Code: | 320350916 |
Phone Number: | 9047531586 |
Fax Number: | 9044910477 |
NPI Enumeration Date: | 02/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH4487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |