Individual
MS. JEAN M HOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MSE, LPC
Contact information
Practice address
2430 STROEBE ISLAND DR, APPLETON, WI 54914-8758
(920) 830-4002
Mailing address
2430 STROEBE ISLAND DR, APPLETON, WI 54914-8758
(920) 830-4002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3407-125
WI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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