Provider Demographics
NPI:1689775272
Name:HOLZER, LAURA ANNE (LMHC, CEAP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANNE
Last Name:HOLZER
Suffix:
Gender:F
Credentials:LMHC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CANNING RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:NY
Mailing Address - Zip Code:12981-3207
Mailing Address - Country:US
Mailing Address - Phone:518-293-1354
Mailing Address - Fax:
Practice Address - Street 1:159 MARGARET ST STE 400
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1874
Practice Address - Country:US
Practice Address - Phone:518-404-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000465-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health