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Individual

HOLLY KREBSBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LISAC

Contact information

Practice address
1753 W SPRUCE DR, CHANDLER, AZ 85286-6852
(785) 202-2603
Mailing address
1753 W SPRUCE DR, CHANDLER, AZ 85286-6852

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AZ
101YP2500X
Professional Counselor
Primary
14132
AZ

Other

Enumeration date
08/18/2015
Last updated
08/18/2015
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