Organization
KRISTI HOLMBERG
Active
Other names
Groundwork, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SIMONS HOLMBERG LCSW (OWNER)
(458) 292-9972
Entity
Organization
Contact information
Practice address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(458) 292-9972
(541) 318-0058
Mailing address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(458) 292-9972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
06/20/2022
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