Provider Demographics
NPI:1851431209
Name:HOLMES, LAUREL J (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:J
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E HOLLY ST
Mailing Address - Street 2:SUITE 411
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4728
Mailing Address - Country:US
Mailing Address - Phone:360-920-0009
Mailing Address - Fax:
Practice Address - Street 1:103 E HOLLY ST
Practice Address - Street 2:SUITE 411
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4728
Practice Address - Country:US
Practice Address - Phone:360-920-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health