Individual
ELLEN ELIZABETH HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3732 LAKESIDE DR STE 202, RENO, NV 89509-4519
(320) 905-4345
(507) 299-0436
Mailing address
3732 LAKESIDE DR STE 202, RENO, NV 89509-4519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC00843
MN
101YP2500X
Professional Counselor
Primary
CP0150
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100553454
—
NV
Enumeration date
03/23/2013
Last updated
08/20/2021
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