Individual
DR. LYLE MARTY HOLIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
101 W 4TH ST, PORTALES, NM 88130-6306
(575) 760-0754
(888) 276-3843
Mailing address
101 W 4TH ST, PORTALES, NM 88130-6306
(575) 760-0754
(888) 276-3843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CMH0208431
NM
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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