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General NPI Number Information
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NPI Number | 1144661414
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Entity Type | Individual
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Provider Name | HOLLY LAKIA COLON LPC, LADC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 15 NORTH ST
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City | DANBURY
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State | CT
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Zip | 06810-5604
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Country | US
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Telephone | 475-219-0467
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HARWOOD DR
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City | DANBURY
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State | CT
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Zip | 06810-8210
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Country | US
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Telephone | 203-885-2305
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1235
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 003540
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License Number State | CT
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