Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003249517 |
---|---|
Provider Name | Ms. Erin P Holtzclaw |
First Address | Anderson, SC 29625-2104 |
Second Address | Anderson, SC 29625-2104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2013 |
Last Update Date | 20/08/2013 |