Individual
AUDRE JUSTE HOLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHCA, LPC-A
Contact information
Practice address
123 MIDDLE ST, BRISTOL, CT 06010-7404
(860) 281-2280
Mailing address
123 MIDDLE ST, BRISTOL, CT 06010-7404
(860) 540-4353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7531
CT
101YM0800X
Mental Health Counselor
MC61406242
WA
Other
Enumeration date
12/19/2022
Last updated
04/29/2025
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