Individual
KYLE A HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-1, CADC-1, PSS
Contact information
Practice address
1050 PRICE RD SE, ALBANY, OR 97322-7314
(541) 928-9681
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
06/17/2025
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