Individual
DR. THERESA J HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, LPC, NCC
Contact information
Practice address
7146 SOUTHLAKE PKWY, MORROW, GA 30260-3075
(770) 960-9961
Mailing address
7146 SOUTHLAKE PKWY, MORROW, GA 30260-3075
(770) 960-9961
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
LPC005030
GA
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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