Holly H Hagstrom LPC

NPI 1083805246 - Counselor - 101YM0800X

NPI Details
NPI 1083805246
Gender Female
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
405 LAKE SHORE DR E
ASHLAND WI, 54806-1837, US
Phone (715) 682-3523
Fax (715) 682-3526
Business Location
61051 E SUMMIT RD
ASHLAND WI, 54806-4402, US
Phone (715) 682-6266
Fax (715) 682-3526
Toxanomy
Taxonomy Code 101YM0800X
License State Wisconsin
License Number 3556-125
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According to our database, Holly H Hagstrom LPC NPI is 1083805246, taxonomy code is 101YM0800X and license number is 3556-125, license state is located at Wisconsin. Holly H Hagstrom LPC physically located at 405 Lake Shore Dr E, Ashland WI, 54806-1837. NPI Number Holly H Hagstrom LPC has the Individual type.

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1083805246 NPI number is provided on an as is basis without warranty of any kind. 1083805246 is maintained by the National Plan & Provider Enumeration System. The contents of Holly H Hagstrom LPC are for informational purposes only.