Individual provider · Type 1 NPI

Holly Heaven

Professional Counselor · Stratford, CT

NPI number 1457986580 Active

Practice location

2225 Main St
Stratford, CT 06615-5920

Call (203) 414-4985 Map

Mailing address

PO Box 11
Derby, CT 06418-0011

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X000752 (CT)

Professional Counselor: Definition to come...

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About NPI 1457986580

Holly Heaven's National Provider Identifier is 1457986580, issued on Mar 9, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stratford, CT. The record was last updated on Mar 9, 2020.