Individual
MADISON KENDRA HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
, LMHC, LSAA
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2272
(575) 623-3325
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-2272
(575) 623-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2024-0640
NM
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0587
NM
Other
Enumeration date
07/21/2020
Last updated
09/06/2024
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