| Doctor Name: | JAMES GRANT HOLLENBACH |
| NPI Number: | 1841521382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PCC |
| License Number: | E.0701080 |
| Business Practice Address: | 771b State Route 97 Perrysville, OH - 448649501 |
| Business Phone Number: | 4196065046 |
| Business Fax Number: | 4199945145 |
| Mailing Address: | 771b State Route 97, PERRYSVILLE |
| State: | OH |
| Postal Code: | 448649501 |
| Phone Number: | 4196065046 |
| Fax Number: | 4199945145 |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0701080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |