Individual
MR. DANIEL JEROME HOLDERIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,LPC
Contact information
Practice address
1422 W COURT ST, FLINT, MI 48503-5008
(810) 767-4014
(810) 767-0020
Mailing address
1422 W COURT ST, FLINT, MI 48503-5008
(810) 767-4014
(810) 767-0020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005440
MI
Other
Enumeration date
06/12/2007
Last updated
01/15/2009
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