Provider Demographics
NPI:1700111325
Name:HOLLOWAY, CATHERINE MURIEL (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MURIEL
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:43 HOOPER ST.
Mailing Address - Street 2:UMBRELLA MENTAL HEALTH SERVICES
Mailing Address - City:WISCASSET
Mailing Address - State:ME
Mailing Address - Zip Code:04578
Mailing Address - Country:US
Mailing Address - Phone:207-687-2180
Mailing Address - Fax:207-687-2181
Practice Address - Street 1:1604 BENTON AVE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:ME
Practice Address - Zip Code:04901-3327
Practice Address - Country:US
Practice Address - Phone:207-453-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC2956101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional