Individual provider · Type 1 NPI
Mary Kevin Holdeman, LPC
Mental Health Counselor · Portland, OR
NPI number
1659952844
Active
Practice location
4357 N Williams Ave Apt 314
Portland, OR 97217-2976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C6085 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1659952844
Mary Kevin Holdeman, LPC's National Provider Identifier is 1659952844, issued on Apr 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 19, 2021.