Individual
EMILY J HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701
(309) 820-3535
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(309) 820-3535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
166.001311
IL
106H00000X
Marriage & Family Therapist
LMFT-218
WY
106H00000X
Marriage & Family Therapist
MFT.0001569
CO
106H00000X
Marriage & Family Therapist
PMFT-279
WY
Other
Enumeration date
10/09/2015
Last updated
11/14/2019
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