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Individual

LORIEN O HOLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
409 S FRETZ AVE STE C, EDMOND, OK 73003-5570
(405) 519-1096
Mailing address
409 S FRETZ AVE STE C, EDMOND, OK 73003-5570
(405) 519-1096

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5267
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5267
OKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH LICENSURE
OK
Enumeration date
12/07/2010
Last updated
09/01/2016
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