Individual provider · Type 1 NPI

Anjuli Dominique Holmes

Professional Counselor · Kenosha, WI

NPI number 1609648641 Active

Practice location

2108 63rd St
Kenosha, WI 53143-4454

Mailing address

6233 39th Ave
Kenosha, WI 53142-7015

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11710-125 (WI)
Counselor 101Y00000X7641-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1609648641

Anjuli Dominique Holmes's National Provider Identifier is 1609648641, issued on Oct 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenosha, WI. The record was last updated on Apr 16, 2025.