Holm, Kurt David

Holm, Kurt David is an individual health care provider with primary practice located at 13045 Falcon Dr Ste 100 , Baxter MN 56425-4201. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Holm, Kurt David can be contacted via phone (218) 829-9307.

Contact Information

Primary practice address
13045 Falcon Dr Ste 100 Baxter MN 56425-4201
Phone: (218) 829-9307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302032 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27249 Minnesota

Profile Details

NPI number 1396158358
LBN Legal business name Holm, Kurt David
Credentials LICSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2014
Last updated Feb 12th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396158358 NPPES
Minnesota Other 27249 LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
Minnesota Other 302032 LICENSED INDEPENDENT CLINICAL SOCIAL WORKER

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