Individual provider · Type 1 NPI

Holly Michelle Gifford, LPC-IT

Professional Counselor · Elkhorn, WI

NPI number 1245575158 Active

Practice location

W4051 County Road Nn
Elkhorn, WI 53121-4338

Fax (262) 741-3315

Mailing address

1155 Sage St
Lake Geneva, WI 53147-1235

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1416-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1245575158

Holly Michelle Gifford, LPC-IT's National Provider Identifier is 1245575158, issued on Dec 4, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elkhorn, WI. The record was last updated on Dec 4, 2012.