Individual
MR. DYLAN THOMPSON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
2211 CLEAR VUE LN, SPRINGFIELD, OR 97477-1373
(541) 505-8558
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Enumeration date
07/30/2015
Last updated
05/13/2022
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