Individual provider · Type 1 NPI

Alexis Holston

Mental Health Counselor · Coos Bay, OR

NPI number 1154010387 Active

Practice location

2020 Thompson Rd Bldg A
Coos Bay, OR 97420-2041

Call (541) 267-3511 Map

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154010387

Alexis Holston's National Provider Identifier is 1154010387, issued on May 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on May 3, 2023.