Provider Demographics
NPI:1548213713
Name:SALACH-LAFERTE, HOLLY C (MCMHC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:C
Last Name:SALACH-LAFERTE
Suffix:
Gender:F
Credentials:MCMHC
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:C
Other - Last Name:SALACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MCMHC
Mailing Address - Street 1:43 BIRCH STREET
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038
Mailing Address - Country:US
Mailing Address - Phone:603-434-1577
Mailing Address - Fax:603-434-3101
Practice Address - Street 1:43 BIRCH STREET
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038
Practice Address - Country:US
Practice Address - Phone:603-434-1577
Practice Address - Fax:603-434-3101
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor