Provider Demographics
NPI:1417529173
Name:HOLDEFER NEAL, JOANNE KAY (LPC-A, LCDC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:KAY
Last Name:HOLDEFER NEAL
Suffix:
Gender:F
Credentials:LPC-A, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 BROOKNEAL CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-5338
Mailing Address - Country:US
Mailing Address - Phone:515-360-5442
Mailing Address - Fax:
Practice Address - Street 1:5709 BROOKNEAL CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-5338
Practice Address - Country:US
Practice Address - Phone:515-360-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health