Individual
MS. KIMBERLY HOLTSCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 PENNINGTON ROAD, FORCINA HALL 413-414, EWING, NJ 08618
(732) 261-6787
Mailing address
PO BOX 3102, HAMILTON, NJ 08619-0102
(732) 261-6787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00122700
NJ
101YP2500X
Professional Counselor
Primary
37PC00515400
NJ
101YP2500X
Professional Counselor
PC007817
PA
Other
Enumeration date
11/02/2013
Last updated
09/26/2018
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