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Individual

MS. ILENE DENISE HOLCOMBE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1622 WOODMERE LOOP, MONTGOMERY, AL 36117-2456
(334) 395-8435
Mailing address
1622 WOODMERE LOOP, MONTGOMERY, AL 36117-2546
(334) 395-8435

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3292
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3292
ALABAMA BOARD OF EXAMINERS
AL
Enumeration date
07/21/2015
Last updated
07/21/2015
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