Healthcare Provider Details

I. General information

NPI: 1841646668
Provider Name (Legal Business Name): HOLLY MARIE ST. PIERRE LMHC LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 N 3RD ST # 663
KALAMA WA
98625-9800
US

IV. Provider business mailing address

PO BOX 663
KALAMA WA
98625-0702
US

V. Phone/Fax

Practice location:
  • Phone: 360-524-7699
  • Fax:
Mailing address:
  • Phone: 360-524-7699
  • Fax: 360-423-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60716880
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: