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Contact Information

HOLLIE M GENTRY, COUNCELOR
3006 LINCOLNWAY E
MISHAWAKA, IN46544-3501
 Phone: 574-213-9550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for HOLLIE M GENTRY · (Female)

NPI Number 1992462832
Status Active
Credentials COUNCELOR
Entity Individual
Enumeration date 11/28/2021
Last updated 11/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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