Individual
MRS. BONNIE KAY HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 3RD ST, STE 200, JACKSON, GA 30233-1900
(770) 845-9344
Mailing address
408 WALNUT CREEK DR, STOCKBRIDGE, GA 30281-5877
(770) 845-9344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006510
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134052A
—
GA
Enumeration date
11/28/2011
Last updated
01/13/2014
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