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Provider Information for 1972989176


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MICHELE HOLDEN M.Ed, LCPC


Sex: Female

NPI: 1972989176
Last Updated: 2024-07-26
Certification Date: 2024-07-26

Details

NameValue
NPI1972989176
Enumeration Date2015-08-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 813 1ST AVE
HAVRE, MT 59501-4403
United States

Phone: 406-945-3187 | Fax:
 
Primary Practice Address 305 3RD AVE STE 310
HAVRE, MT 59501-3577
United States

Phone: 406-945-3187 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMT12313