Gary D Holstad, MS LPC
Counselor in Gainesville, GA. Individual provider (NPI-1).
NPI number1710072780
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710072780
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary D Holstad
- Credential
- MS LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPC2102 | GA | Yes |
Practice location
703 Grove StreetGainesville, GA 30501
Phone 770-535-1073 · Fax 770-287-1931
Mailing address
703 Grove StreetGainesville, GA 30501
Phone 770-535-1073 · Fax 770-287-1931
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