Holder-Coburn, Kelly

Holder-Coburn, Kelly is an individual health care provider with primary practice located at 206 E Market St , Lima OH 45801-4914. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Holder-Coburn, Kelly can be contacted via phone (937) 387-6395.

Contact Information

Primary practice address
206 E Market St Lima OH 45801-4914
Phone: (937) 387-6395
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1300431 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 121121 Ohio

Profile Details

NPI number 1821523259
LBN Legal business name Holder-Coburn, Kelly
Credentials LPC, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2017
Last updated Sep 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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