Individual
TALANA JO HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 INGERSOLL AVE, DES MOINES, IA 50312-3400
(515) 255-2500
Mailing address
2612 8TH AVE SE, ALTOONA, IA 50009-8901
(319) 239-5120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075516
IA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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