Individual
TOMAS L HOLTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4400 W 69TH ST, STE. 1500, SIOUX FALLS, SD 57108-8171
(605) 322-5700
(605) 322-5704
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2209
SD
101YP2500X
Professional Counselor
LPC7109
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689976557
WELLMARK BCBS SD
—
05
—
2001602
—
SD
05
—
6577202
—
SD
Enumeration date
11/29/2010
Last updated
10/11/2018
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