Individual
STACIA RENEE HOLDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
100 S MAIN ST, HARRODSBURG, KY 40330-1633
(859) 733-9241
(859) 908-2501
Mailing address
PO BOX 363, HARRODSBURG, KY 40330-0363
(859) 733-9241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
240580
KY
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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