Provider Demographics
NPI:1497160980
Name:HOLLAND, MARGARET (MED, LCPC-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MED, LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 SOUTHERN BAY ROAD
Mailing Address - Street 2:
Mailing Address - City:PENOBSCOT
Mailing Address - State:ME
Mailing Address - Zip Code:04476
Mailing Address - Country:US
Mailing Address - Phone:207-266-2069
Mailing Address - Fax:
Practice Address - Street 1:6 MINES ROAD
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614
Practice Address - Country:US
Practice Address - Phone:207-266-2069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health