Doctor Name: | LORIEN O HOLMAN |
NPI Number: | 1023311495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5267 |
Business Practice Address: | 1019 E Waterwood Parkway Edmond, OK - 730345332 |
Business Phone Number: | 4055191096 |
Business Fax Number: | |
Mailing Address: | 1019 E Waterwood Parkway, EDMOND |
State: | OK |
Postal Code: | 730345332 |
Phone Number: | 4055191096 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |