Most Relevant Information
Provider Data
| NPI Number: | 1003292715 |
| Provider Name: | JESSICA HOLM PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 70152 |
Most Important Dates
| Enumeration Date: | 08/04/2015 |
| Last Updated: | 08/04/2015 |
Provider Practice Location
1424 CORRARA DR
ROCKWALL
TX
750327538
Practice Location Phone/Fax
| Phone: | 3522664983 |
| Fax: |
Provider Mailing Location
1424 CORRARA DR
ROCKWALL
TX
750327538
Provider Mailing Phone/Fax
| Phone: | 3522664983 |
| Fax: |