Holly, Kristin

Holly, Kristin is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Holly, Kristin can be contacted via phone (541) 766-6715.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-6715
Fax: (541) 766-6164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X A2993 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L6887 Oregon

Profile Details

NPI number 1447510094
LBN Legal business name Holly, Kristin
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Mar 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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