Individual
MRS. MISTY COLLEEN ESPY HOLTZCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC11
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
Mailing address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
92-07-20294
OR
Other
Enumeration date
04/30/2018
Last updated
10/19/2023
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