Individual
MS. MICHELE A HOLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
951 HARMONY RD, SUITE 107, EATONTON, GA 31024-9601
(678) 464-6853
Mailing address
951 HARMONY RD, SUITE 107, EATONTON, GA 31024-9601
(678) 464-6853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC002598
GA
Other
Enumeration date
01/31/2007
Last updated
09/08/2016
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