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Individual

MRS. MICHELE DONALDSON HOLBEN

Active
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Individual

MRS. MICHELE DONALDSON HOLBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LASAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADAC 2071
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICADC 711815
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13027
AZ

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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