Most Relevant Information
Provider Data
| NPI Number: | 1003419375 |
| Provider Name: | HOLLY LYNN CHANEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/19/2020 |
| Last Updated: | 11/19/2020 |
Provider Practice Location
829 CHIEF EDDIE HOFFMAN HWY
ATTN: PREVENTATIVE SERVICES
BETHEL
AK
995590528
Practice Location Phone/Fax
| Phone: | 9075436100 |
| Fax: | 9075436159 |
Provider Mailing Location
PO BOX 528
BETHEL
AK
995590528
Provider Mailing Phone/Fax
| Phone: | 9075436966 |
| Fax: | 9075436159 |