Individual
CAITLIN HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2580 N. 24TH ST., PHOENIX, AZ 85008-8500
(602) 802-7049
Mailing address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 802-7049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC17257
AZ
Other
Enumeration date
04/06/2020
Last updated
06/16/2021
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