Individual
MRS. KATHLEEN M HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
4785 HAYES RD STE 200, MADISON, WI 53704-7364
(608) 535-9854
Mailing address
4785 HAYES RD STE 200, MADISON, WI 53704-7364
(608) 535-9854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17006
WI
Other
Enumeration date
11/01/2021
Last updated
02/10/2024
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