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Individual

HEIDI HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, BT, RLT

Contact information

Practice address
190 HICKORY AVE, HARAHAN, LA 70123-4068
(504) 313-4215
Mailing address
224 OAK AVE, HARAHAN, LA 70123-4039
(504) 450-9756

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6746
LA
106S00000X
Behavior Technician

Other

Enumeration date
03/09/2015
Last updated
05/20/2019
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