Individual provider · Type 1 NPI

Summer Holshouser

Mental Health Counselor · Olney, IL

NPI number 1194274605 Active

Practice location

515 W Saint John St
Olney, IL 62450-1426

Call (618) 395-8063 Map

Fax (618) 395-8063

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194274605

Summer Holshouser's National Provider Identifier is 1194274605, issued on Sep 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olney, IL. The record was last updated on Sep 26, 2016.