Provider Demographics
NPI:1346634938
Name:EDGREN, HOLLY ALENE (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ALENE
Last Name:EDGREN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:120 S 6TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:ELDRIDGE
Mailing Address - State:IA
Mailing Address - Zip Code:52748-1911
Mailing Address - Country:US
Mailing Address - Phone:727-992-1281
Mailing Address - Fax:563-285-4720
Practice Address - Street 1:120 S 6TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:ELDRIDGE
Practice Address - State:IA
Practice Address - Zip Code:52748-1911
Practice Address - Country:US
Practice Address - Phone:727-992-1281
Practice Address - Fax:563-285-4720
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health