person
Mrs. Holly Jean Line, LPCC
Mental Health Counselor in Brainerd, Minnesota
NPI 1801958897

Holly Jean Line is a Mental Health Counselor based in Breezy Point, MN and is specialized in Mental Health. Holly Jean Line practices in Brainerd, MN and has the professional credentials of LPCC. The NPI Number for Holly Jean Line is 1801958897 and holds a License No. CC00002 (Minnesota).

The current practice location address for Holly Jean Line is 520 Nw 5Th St, Brainerd, MN and can be reached out via phone at 218-829-3235.

Location: 520 Nw 5Th St, Brainerd, MN, 56472-3820
person
Provider Profile Details
NPI Number
1801958897
Provider Name
Holly Jean Line
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
520 Nw 5Th St, Brainerd, MN, 56472-3820
Phone Number
218-829-3235
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1044529 01 MN PREFERRED ONE
00N15LI 01 MN BLUE CROSS BLUE SHIELD
1801958897 01 MN UCARE
1801958897 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
520 Nw 5Th St
City
State
Zip
56401-2902
Phone Number
218-829-3235
Fax Number
person
Provider Business Mailing Address Details
Address
520 Nw 5Th St
City
State
Zip
56401-2902
Phone Number
218-829-3235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC00002 (Minnesota)
Definition
Definition to come...
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