Individual
MR. IRVIN LEROY HOLTZHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, TLLP
Contact information
Practice address
651 N STATE ST, CARO, MI 48723-1543
(989) 673-5700
(989) 672-2555
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301015082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509107840
BCBS
MI
01
—
7509109640
BCBS
MI
01
—
7509109660
BCBS
MI
Enumeration date
06/04/2012
Last updated
06/04/2012
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