Provider Demographics
NPI:1518236702
Name:HOLLENBACH, GENEFREDE (LMHC)
Entity type:Individual
Prefix:MS
First Name:GENEFREDE
Middle Name:
Last Name:HOLLENBACH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:GENEFREDE
Other - Middle Name:
Other - Last Name:HOLLENBACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:440 HUMPREY STREET, SW
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907
Mailing Address - Country:US
Mailing Address - Phone:617-407-2697
Mailing Address - Fax:
Practice Address - Street 1:440 HUMPREY STREET, SW
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907
Practice Address - Country:US
Practice Address - Phone:617-407-2697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health