Individual
KEITH R HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
255 E. 300 N., GUNNISON, UT 84634-0550
(435) 528-6000
Mailing address
PO BOX 220460, CENTERFIELD, UT 84622-0460
(435) 340-0905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10124360-6004
UT
Other
Enumeration date
11/23/2016
Last updated
02/24/2020
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