Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | BHRS CERTIFIED | OK |
NPI | 1245575257 |
---|---|
Provider Name | Dawn Jeneane Holmes |
First Address | Tulsa, OK 74105-8501 |
Second Address | Tulsa, OK 74137-4250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2012 |
Last Update Date | 03/12/2012 |