Individual
MS. HOLLIS HOLLY KADESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1652 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-3985
(541) 673-8060
Mailing address
110 S PARK CT, ROSEBURG, OR 97471-8121
(406) 671-4772
(541) 673-8060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1236LCPC
MT
106H00000X
Marriage & Family Therapist
MFC36003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257193
—
MT
05
—
500856906
—
OR
Enumeration date
08/31/2006
Last updated
09/11/2025
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