Individual
MARY E HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
346 TRAIL WINDS DR # 61, BETHLEHEM, GA 30620-1835
(770) 624-4697
Mailing address
346 TRAIL WINDS DR # 61, BETHLEHEM, GA 30620-1835
(770) 624-4697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010949
GA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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