Individual
CHRISTOPHER HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8521
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1981
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100296550
—
KY
01
—
P01458980
RR MEDICARE
KY
Enumeration date
05/23/2007
Last updated
12/04/2020
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