Individual
JENNIFER ALICIA HOLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4102 E EAGLES VIEW CIR, SPRINGFIELD, MO 65809-8904
(417) 425-9850
Mailing address
4102 E EAGLES VIEW CIR, SPRINGFIELD, MO 65809-8904
(417) 425-9850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037168
MO
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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