Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1205325842 |
||||
| LBN Legal business name | CHIQUITA K. HOLT COUNSELING | ||||
| Authorized official | CHIQUITA HOLT - (PROPRIETOR/COUNSELOR/THERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/09/2018 | ||||
| Last updated | 05/09/2018 - About 8 years ago | ||||
| Identifiers |
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