Individual
CRYSTAL M HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
344 TULLY ST, HURLBURT FIELD, FL 32544-5810
(850) 884-6420
Mailing address
344 TULLY ST, HURLBURT FIELD, FL 32544-5810
(850) 884-6420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14383
NC
101YP2500X
Professional Counselor
14383
NC
101YP2500X
Professional Counselor
Primary
23443
FL
Other
Enumeration date
11/07/2018
Last updated
05/23/2024
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