MICAH HOLST

CHICAGO, IL
NPI1861990244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-01-31
Last Update Date2018-01-31
Business Address
MICAH HOLST
3605 W. FILLMORE
CHICAGO, IL 60624
Phone number: 773-588-0180
Mailing Address
MICAH HOLST
3605 W FILLMORE ST
CHICAGO, IL 60624-4310
Phone number: 773-588-0180
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