Individual
ALICIA V. HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ATR-BC
Contact information
Practice address
3220 HANNAH AVE NW, STE 2, BEMIDJI, MN 56601
(218) 209-3600
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
514-7-1-04
ND
101YP2500X
Professional Counselor
Primary
CC00138
MN
221700000X
Art Therapist
05-037
MN
Other
Enumeration date
05/16/2007
Last updated
05/21/2024
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