Individual
KATHY COLENE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
3019 GEHLAR RD NW APT 1017, SALEM, OR 97304-4278
(503) 884-9179
Mailing address
3019 GEHLAR RD NW APT 1017, SALEM, OR 97304-4278
(503) 884-9179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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