Individual
ROBERTA L HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CADC
Contact information
Practice address
409 COUNTY ROAD R, BLACK RIVER FALLS, WI 54615-5129
(715) 284-9477
(715) 284-5547
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39728900
—
WI
01
—
51172
SECURITY HEALTH PLAN
—
01
—
HP80839
HEALTHPARTNERS
—
Enumeration date
12/19/2006
Last updated
09/07/2011
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