Provider Demographics
NPI:1336891753
Name:HOLLCRAFT, MARIA THERESE (LPC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:THERESE
Last Name:HOLLCRAFT
Suffix:
Gender:F
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:PO BOX 7425
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-0425
Mailing Address - Country:US
Mailing Address - Phone:651-600-2070
Mailing Address - Fax:
Practice Address - Street 1:430 INDIANA ST STE 100
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5012
Practice Address - Country:US
Practice Address - Phone:303-736-9697
Practice Address - Fax:720-306-5464
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0110536101YM0800X
COLPC.0019225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health