Provider Demographics
NPI:1134599087
Name:HOLCMAN, ASHLEY (LCPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HOLCMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2176 N STATE ROUTE 178
Mailing Address - Street 2:
Mailing Address - City:TONICA
Mailing Address - State:IL
Mailing Address - Zip Code:61370-9778
Mailing Address - Country:US
Mailing Address - Phone:815-326-1186
Mailing Address - Fax:
Practice Address - Street 1:807 LA SALLE ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:IL
Practice Address - Zip Code:61350-2073
Practice Address - Country:US
Practice Address - Phone:630-708-0197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.011259101Y00000X
IL180.011017101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor