Individual
MRS. JULISA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, MHC
Contact information
Practice address
205 WATERMAN ST STE 107, PROVIDENCE, RI 02906-4313
(617) 315-8835
(401) 386-2543
Mailing address
4025 OAKWOOD DR APT 812, CHATTANOOGA, TN 37416-2386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC01629
RI
101YP2500X
Professional Counselor
Primary
PC014971
PA
Other
Enumeration date
03/20/2023
Last updated
01/31/2024
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