Individual
MR. THOMAS DEAN HOLTGREWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5960 DEARBORN ST STE 1, MISSION, KS 66202-3362
(913) 645-6652
(913) 362-6410
Mailing address
5960 DEARBORN ST STE 1, MISSION, KS 66202-3362
(913) 645-6652
(913) 362-6410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
309
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A880171
BLUE CROSS BLUE SHIELD KANSAS CITY MISSOURI
MO
Enumeration date
12/29/2009
Last updated
12/29/2009
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