Provider Demographics
NPI:1639590177
Name:HOLT, CATHERINE (MSCP, LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HOLT
Suffix:
Gender:F
Credentials:MSCP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11856 WILDERNESS DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-2234
Mailing Address - Country:US
Mailing Address - Phone:907-952-0097
Mailing Address - Fax:
Practice Address - Street 1:4400 BUSINESS PARK BLVD
Practice Address - Street 2:BLDG B SUITE 11
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7171
Practice Address - Country:US
Practice Address - Phone:907-952-0097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional