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Individual

MS. KRISTIN SIMONS HOLMBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2542 COURTNEY DRIVE, ST. CHARLES BEHAVIORAL HEALTH, BEND, OR 97701
(541) 706-2768
(541) 706-4760
Mailing address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(458) 292-9972
(541) 318-0058

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6124
OR
1041C0700X
Clinical Social Worker
LW 00009581
WA

Other

Enumeration date
05/22/2008
Last updated
06/20/2019
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