Individual
ERIC HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 CRADDUCK RD, ADA, OK 74820-9491
(580) 310-9000
Mailing address
3622 GOVERNOR HARRIS DR, ADA, OK 74820-9258
(918) 312-0450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
J081056657
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744520B
—
OK
05
—
100744520D
—
OK
Enumeration date
04/23/2013
Last updated
11/21/2013
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