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NPI Code Detail

MEDICARE: ABIGAIL HOLLAND

MEDICARE:   ABIGAIL  HOLLAND
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 CounselorLGP10950MD

General Provider Information

NPI Number : 1851057749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL HOLLAND
Provider Business Mailing Address
First Line : 9703 SOFTWATER WAY
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1815
Country : US
Telephone Number : 410-227-8159
Fax Number :
Provider Business Practice Location Address
First Line : 9703 SOFTWATER WAY
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1815
Country : US
Telephone Number : 410-227-8159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2021
Last Update Date : 11/15/2021

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Directions to “ ABIGAIL HOLLAND ” Practice Location

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