Individual
DR. IMAC SORAYA REYNAGA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D M.S. LPC LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00163700
NJ
101YP2500X
Professional Counselor
37PC00398600
NJ
101YP2500X
Professional Counselor
Primary
LPC-19884
AZ
101YP2500X
Professional Counselor
PC004761
PA
Other
Enumeration date
12/18/2006
Last updated
07/21/2022
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