Provider Demographics
NPI:1205041175
Name:HOLMQUIST, DONALD WILLIAM (MA, LMHP, LDAC)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:WILLIAM
Last Name:HOLMQUIST
Suffix:
Gender:M
Credentials:MA, LMHP, LDAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 PIONEERS BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-5963
Mailing Address - Country:US
Mailing Address - Phone:402-540-6586
Mailing Address - Fax:
Practice Address - Street 1:3201 PIONEERS BLVD
Practice Address - Street 2:STE. 202
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-5963
Practice Address - Country:US
Practice Address - Phone:402-540-6586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE839101YA0400X
NE3707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)