Individual
MR. BRYAN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
45 N LAPEER ST, LAKE ORION, MI 48362-3159
(248) 693-9614
Mailing address
326 CORKWOOD DR, OXFORD, MI 48371-4054
(248) 978-5434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588841787
TREESIDE
MI
Enumeration date
08/12/2017
Last updated
07/21/2022
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