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Individual

ELLEN M HOLMQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC

Contact information

Practice address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1674-226
WI

Other

Enumeration date
01/28/2014
Last updated
01/28/2014
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