Individual
SARA JULSRUD HOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(952) 767-2267
Mailing address
26822 LOFTON AVE, CHISAGO CITY, MN 55013-9759
(701) 330-5211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60511087
WA
103T00000X
Psychologist
Primary
LP6830
MN
Other
Enumeration date
09/01/2014
Last updated
10/03/2022
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