Holly H Hagstrom in Ashland - Mental Health
Holly H Hagstrom - NPI 1083805246
Holly H Hagstrom is a Mental Health in Ashland, Wisconsin. Holly H Hagstrom practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Holly H Hagstrom is 1083805246. The last update date is 2007-08-05.
Holly H Hagstrom's current location address is 61051 E Summit Rd, Ashland, Wisconsin. You can contact this provider via phone number 7156826266 and fax number 7156823526. The mailing address for Holly H Hagstrom is 61051 E Summit Rd, Ashland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly H Hagstrom |
|---|---|
| Address | 61051 E Summit Rd, Ashland, Wisconsin |
| Phone Number | 7156826266 |
| Fax Number | 7156823526 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1083805246 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2007-08-05 |
Provider Mailing Address Detail
| Address | 61051 E Summit Rd |
|---|---|
| City | Ashland |
| State | Wisconsin (WI) |
| Post Code | 548064402 |
| Phone Number | 7156826266 |
| Fax Number | 7156823526 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 3556-125 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41001100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Holly H Hagstrom by the Centers for Medicare & Medicaid Services?
The Holly H Hagstrom has been issued the NPI (National Provider Identifier) 1083805246, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Holly H Hagstrom?
The Holly H Hagstrom is situated at 61051 E Summit Rd, in the city of Ashland, state of WI, with the zip code 548064402.
What is Holly H Hagstrom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Holly H Hagstrom's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Holly H Hagstrom receive its 1083805246 assignment from the Centers for Medicare & Medicaid Services?
The Holly H Hagstrom was assigned its 1083805246 by the Centers for Medicare & Medicaid Services on 2007-08-05.
When was the information regarding Holly H Hagstrom most recently updated?
The details pertaining to the Holly H Hagstrom, including its address, specialty, and other relevant information, were last refreshed on 2007-08-05.
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