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Individual

LISA MARIE HOLTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2187 11K ST SW, WASHBURN, ND 58577-4129
(218) 791-4413
Mailing address
2187 11K ST SW, WASHBURN, ND 58577-4129
(218) 791-4413

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
721-7-15-12A
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457643
ND MEDICAID
ND
05
78033
ND
Enumeration date
04/03/2014
Last updated
03/26/2026
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