Individual provider · Type 1 NPI

Theodis Junior Holmes

Mental Health Counselor · Waukegan, IL

NPI number 1326400045 Active

Practice location

3010 Grand Ave
Waukegan, IL 60085-2321

Fax (847) 984-5659

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326400045

Theodis Junior Holmes's National Provider Identifier is 1326400045, issued on Mar 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukegan, IL. The record was last updated on Mar 22, 2016.