Theodis Junior Holmes
Theodis Junior Holmes is a Mental Health Counselor in Waukegan, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
3010 Grand AveWaukegan, IL 60085-2321
Phone: (847) 377-6868
Fax: (847) 984-5659
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1326400045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2016 |
| Last updated in NPPES | March 22, 2016 |
| Mailing address | 3010 Grand Ave, Waukegan, IL 60085-2321 |
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