Line, Holly Jean

Line, Holly Jean is an individual health care provider with primary practice located at 520 Nw 5Th St , Brainerd MN 56401-2902. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Line, Holly Jean can be contacted via phone (218) 829-3235.

Contact Information

Primary practice address
520 Nw 5Th St Brainerd MN 56401-2902
Phone: (218) 829-3235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC00002 Minnesota

Profile Details

NPI number 1801958897
LBN Legal business name Line, Holly Jean
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jan 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801958897 NPPES
Minnesota Other 1044529 PREFERRED ONE
Minnesota Other 00N15LI PREFERRED ONE
Minnesota Other 1801958897 PREFERRED ONE
Minnesota Other 1801958897 PREFERRED ONE

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