Individual
DENEEN AMANDA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC NCC ALMFT LPN
Contact information
Practice address
19624 GOVERNORS HWY, FLOSSMOOR, IL 60422-2092
(872) 225-6010
Mailing address
4820 179TH ST, COUNTRY CLUB HILLS, IL 60478-2918
(708) 833-9298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019884
IL
106H00000X
Marriage & Family Therapist
208.001188
IL
164W00000X
Licensed Practical Nurse
043.116761
IL
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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