| Doctor Name: | CONNIE-ANNE HOLMAN |
| NPI Number: | 1255714697 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MHC-222 |
| Business Practice Address: | 91-2301 Old Ft Weaver Rd Ewa Beach, HI - 967063602 |
| Business Phone Number: | 8086718511 |
| Business Fax Number: | |
| Mailing Address: | 91-2301 Old Ft Weaver Rd, EWA BEACH |
| State: | HI |
| Postal Code: | 967063602 |
| Phone Number: | 8086718511 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2015 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MHC-222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |