Individual
MARILYN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, ATR-P
Contact information
Practice address
9400 LEBANON RD, EAST SAINT LOUIS, IL 62203-2214
(618) 397-0968
Mailing address
9400 LEBANON RD, EAST SAINT LOUIS, IL 62203-2214
(618) 397-0968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.016707
IL
221700000X
Art Therapist
20-257
IL
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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