Individual
MS. GWENDOLYN LEE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC, LPCA
Contact information
Practice address
108 12TH ST, CLAY CITY, KY 40312-8979
(606) 663-9011
Mailing address
1605 CURTIS PIKE, RICHMOND, KY 40475-9794
(859) 314-0365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
270741
KY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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