Sandra Holmes, MS, CSAC, LPC
Counselor, Professional in Wisconsin Rapids, WI. Individual provider (NPI-1).
NPI number1164084018
StatusActive
Last updated in NPPESJul 1, 2019
Details
- NPI
- 1164084018
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sandra Holmes
- Credential
- MS, CSAC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2019
- Last updated
- Jul 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2061-125 | WI | Yes |
Other names
- Sandra Skyles (Former Name)
Practice location
420 Dewey StWisconsin Rapids, WI 54494-4714
Phone 715-847-2772
Mailing address
3000 Westhill Dr Ste 100Wausau, WI 54401-3795
Phone 715-847-2772 · Fax 715-847-2928
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