Provider Demographics
NPI:1609200583
Name:HOLLIDAY, CRAIG (LPC)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:HOLLIDAY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5205
Mailing Address - Country:US
Mailing Address - Phone:970-759-5829
Mailing Address - Fax:
Practice Address - Street 1:230 E COLLEGE DR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5205
Practice Address - Country:US
Practice Address - Phone:970-759-5829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011595101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor