Individual
KATHERINE MAILE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CRM, CADC-R
Contact information
Practice address
702 CHURCH ST NE, SALEM, OR 97301-2404
(503) 991-5903
(997) 142-8262
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-01-10991
OR
175T00000X
Peer Specialist
21-CRM-686
OR
Other
Enumeration date
04/03/2023
Last updated
07/11/2025
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