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NPI Code Detail

MEDICARE: MRS. HOLLY NICOLE MAJKUT LMHC, ATR-BC

MEDICARE:  MRS. HOLLY NICOLE MAJKUT  LMHC, ATR-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor5466MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245324144
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY NICOLE MAJKUT LMHC, ATR-BC
Provider Business Mailing Address
First Line : 235 GREENFIELD RD
Second Line : CLINICAL ART ASSOCIATES, LLC
City : SOUTH DEERFIELD
State : MA
Zip : 01373-9753
Country : US
Telephone Number : 413-665-2110
Fax Number :
Provider Business Practice Location Address
First Line : 235 GREENFIELD RD
Second Line : CLINICAL ART ASSOCIATES, LLC
City : SOUTH DEERFIELD
State : MA
Zip : 01373-9753
Country : US
Telephone Number : 413-665-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/09/2009

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