Provider Information for 1902258924
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SHAUNA HOLDER M. Ed., LPC
Sex: Female
NPI: 1902258924
Last Updated: 2024-12-11
Certification Date: 2024-12-11
Certification Date: 2024-12-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902258924 | ||||||||
| Enumeration Date | 2016-07-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8806 N NAVARRO ST STE 600-231 VICTORIA, TX 77904-1427 United States Phone: 361-489-1981 | Fax:361-214-3768 | ||||||||
| Primary Practice Address | 2640 E LEAGUE CITY PKWY STE 104-4128 LEAGUE CITY, TX 77573-3368 United States Phone: 361-489-1981 | Fax:361-214-3768 | ||||||||
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