Individual
MS. MARY M HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4601 SPICEWOOD SPRINGS RD, BLDG 4, SUITE 200, AUSTIN, TX 78759-8598
(512) 231-0164
(512) 276-8958
Mailing address
2604 W 48TH ST, AUSTIN, TX 78731-5602
(512) 585-4899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6464LC
BCBS PROVIDER IDENTIFIER
TX
Enumeration date
11/13/2006
Last updated
08/09/2013
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