Kelly Holder-Coburn, LPC, LICDC

NPI #1821523259 in Lima, Ohio

Provider Information

NPI Number: 1821523259
Entity Type: Individual
Name: Kelly Holder-Coburn, LPC, LICDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC, LICDC
Enumeration Date: Apr 24, 2017
Last Updated: Sep 29, 2021

Practice Location

Address: 206 E MARKET ST
City: Lima
State: Ohio
ZIP Code: 45801-4914
Phone: (937) 387-6395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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