MS. Katherine Dale Lorraine Holloway-Vanausdall, LICENSED MENTAL HEAL
NPI #1104934421 in Silver City, New Mexico
Provider Information
- NPI Number
- 1104934421
- Entity Type
- Individual
- Name
- MS. Katherine Dale Lorraine Holloway-Vanausdall, LICENSED MENTAL HEAL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LICENSED MENTAL HEAL
- Enumeration Date
- Aug 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 315 S HUDSON
- Address 2
- SUITE 19
- City
- Silver City
- State
- New Mexico
- ZIP Code
- 88061
- Phone
- (505) 388-4497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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