Organization
HOLLY HOMAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ANN HOMAN LCSW (THERAPIST)
(317) 607-5880
Entity
Organization
Contact information
Practice address
4696 W CHERT DR, NEW PALESTINE, IN 46163-6300
(317) 607-5880
Mailing address
4696 W CHERT DR, NEW PALESTINE, IN 46163-6300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
34007764A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000695A
IN
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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