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Individual
HEIDIE JO HOLMSTROM
Active
Individual
HEIDIE JO HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC - MH 2309
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6572612
—
SD
Enumeration date
09/24/2015
Last updated
08/29/2025
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