Doctor Name: | MRS. KATHY GLOVER HOULIHAN |
NPI Number: | 1568761252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA., NCC, LPC |
License Number: | PC003090 |
Business Practice Address: | 65 Princeton Manor Dr Youngsville, NC - 275967788 |
Business Phone Number: | 6103313307 |
Business Fax Number: | 9194350440 |
Mailing Address: | 65 Princeton Manor Dr, YOUNGSVILLE |
State: | NC |
Postal Code: | 275967788 |
Phone Number: | 6103313307 |
Fax Number: | 9194350440 |
NPI Enumeration Date: | 03/21/2011 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC003090 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |