Provider Demographics
NPI:1912272865
Name:DOENGES, HOLLY S (MS LPC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:S
Last Name:DOENGES
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:327 NORTH WASHINGTON AVENUE
Mailing Address - Street 2:SUITE 711
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503
Mailing Address - Country:US
Mailing Address - Phone:570-815-1670
Mailing Address - Fax:570-654-4168
Practice Address - Street 1:327 NORTH WASHINGTON
Practice Address - Street 2:SUITE 711
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503
Practice Address - Country:US
Practice Address - Phone:570-815-1670
Practice Address - Fax:570-654-4168
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-11
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC005446101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional