Individual
HOLLI K TINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, CAADC
Contact information
Practice address
2000 E RACINE ST STE 120, JANESVILLE, WI 53545-4300
(608) 247-1520
Mailing address
67 S BLACKHAWK ST, JANESVILLE, WI 53545-2624
(608) 247-1520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15854-132
WI
101YP2500X
Professional Counselor
178-007556
IL
101YP2500X
Professional Counselor
Primary
180008756
IL
101YP2500X
Professional Counselor
5190-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396018131
—
WI
Enumeration date
02/09/2012
Last updated
11/14/2016
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