Danielle Charlotte Marie Holmstrom
Counselor, Professional in Choctaw, OK. Individual provider (NPI-1).
NPI number1114264397
StatusActive
Last updated in NPPESFeb 23, 2016
Details
- NPI
- 1114264397
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Danielle Charlotte Marie Holmstrom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2013
- Last updated
- Feb 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5797 | OK | Yes |
Other names
- Danielle Charlotte Marie Loftis (Former Name)
Practice location
14625 Ne 23rd StChoctaw, OK 73020-8728
Phone 405-390-8131
Mailing address
2433 Sw 54th StOklahoma City, OK 73119-6019
Phone 405-532-7608
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