Doctor Name: | HOLLY ANN CONLEE |
NPI Number: | 1386875425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHC |
License Number: | |
Business Practice Address: | 1225 S Gear Ave Ste 251 West Burlington, IA - 526551688 |
Business Phone Number: | 3197683700 |
Business Fax Number: | 3197683712 |
Mailing Address: | Po Box 540, WEST BURLINGTON |
State: | IA |
Postal Code: | 526550540 |
Phone Number: | 3197683700 |
Fax Number: | 3197683712 |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |