Individual
MR. RONALD R HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LPC-S
Contact information
Practice address
4050 33RD AVENUE, KENOSHA, WI 53144
(210) 643-7064
Mailing address
901 NE LOOP 410, SUITE 901, SAN ANTONIO, TX 78209
(210) 643-7064
(210) 434-1380
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64712
TX
101YM0800X
Mental Health Counselor
64712
TX
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
10822125
WI
101YP2500X
Professional Counselor
64712
TX
Other
Enumeration date
08/25/2010
Last updated
08/14/2024
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