person
Theodis Junior Holmes
Mental Health Counselor in Waukegan, Illinois
NPI 1326400045

Theodis Junior Holmes is a Mental Health Counselor based in Waukegan, IL and is specialized in Mental Health. Theodis Junior Holmes practices in Waukegan, IL. The NPI Number for Theodis Junior Holmes is 1326400045 and holds a License No. (Illinois).

The current practice location address for Theodis Junior Holmes is 3010 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-6868 and via fax at 847-984-5659.

Location: 3010 Grand Ave, Waukegan, IL, 60085-2321
person
Provider Profile Details
NPI Number
1326400045
Provider Name
Theodis Junior Holmes
Credential
Provider Entity Type
Individual
Gender
Male
Address
3010 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-6868
Fax Number
847-984-5659
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3010 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-377-6868
Fax Number
847-984-5659
person
Provider Business Mailing Address Details
Address
3010 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-377-6868
Fax Number
847-984-5659
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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