Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | PC005226 | PA |
N | 101YP1600X | Pastoral Counselor | PC005226 | PA |
N | 101YP2500X | Professional Counselor | PC005226 | PA |
NPI | 1346775772 |
---|---|
Provider Name | Carolynn Holmes Search |
First Address | Bethlehem, PA 18018-5823 |
Second Address | Bethlehem, PA 18018-5823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2017 |
Last Update Date | 24/04/2017 |