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Holly Heaven
Professional Counselor in Stratford, Connecticut
NPI 1457986580

Holly Heaven is a Professional Counselor based in Derby, CT and is specialized in Professional. Holly Heaven practices in Stratford, CT. The NPI Number for Holly Heaven is 1457986580 and holds a License No. 000752 (Connecticut).

The current practice location address for Holly Heaven is 2225 Main St, Stratford, CT and can be reached out via phone at 203-414-4985.

Location: 2225 Main St, Stratford, CT, 06418-0011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457986580
Provider Name
Holly Heaven
Credential
Provider Entity Type
Individual
Gender
Female
Address
2225 Main St, Stratford, CT, 06418-0011
Phone Number
203-414-4985
Fax Number
Provider Enumeration Date
03/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2225 Main St
City
Stratford
State
Connecticut
Zip
06615-5920
Phone Number
203-414-4985
Fax Number
person
Provider Business Mailing Address Details
Address
2225 Main St
City
Stratford
State
Connecticut
Zip
06615-5920
Phone Number
203-414-4985
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
000752 (Connecticut)
Definition
Definition to come...
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