Individual
KRISTI HOLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
201 W LAKEWAY RD STE 311, GILLETTE, WY 82718-6306
(307) 363-5930
Mailing address
1205 BROWN DUCK DR, GILLETTE, WY 82718-6602
(307) 290-2192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PPC-921
WY
101YP2500X
Professional Counselor
Primary
2032
WY
Other
Enumeration date
09/28/2015
Last updated
06/16/2023
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