Individual
TOM G HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC LMFT
Contact information
Practice address
W156N8327 PILGRIM RD STE 302, MENOMONEE FALLS, WI 53051-3776
(262) 251-1112
(262) 251-1113
Mailing address
W156N8327 PILGRIM RD STE 302, MENOMONEE FALLS, WI 53051-3776
(262) 251-1112
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1242308
WI
104100000X
Social Worker
505
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39607200
—
WI
Enumeration date
11/06/2006
Last updated
11/14/2023
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