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Individual

BONNIE L HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3000 C ST STE 102, ANCHORAGE, AK 99503-3975
(907) 729-8583
(907) 729-5180
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8583
(907) 729-5180

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104176
AK
101YP2500X
Professional Counselor
Primary
104176
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1721232
AK
Enumeration date
05/17/2019
Last updated
08/16/2024
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