Individual
MISS PATRICE L HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ED., LSC
Contact information
Practice address
12995 STAR DR, FISHERS, IN 46037-5982
(317) 853-7514
Mailing address
5433 N MEADOW DR, INDIANAPOLIS, IN 46268-4033
(317) 258-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10230509
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NEW APPLICANT
—
Enumeration date
09/23/2020
Last updated
09/23/2020
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