Provider Demographics
NPI:1447320320
Name:DENHOLM, DAVID RALPH (LPCC-S)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:RALPH
Last Name:DENHOLM
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 EASTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2179
Mailing Address - Country:US
Mailing Address - Phone:330-798-1220
Mailing Address - Fax:330-798-1225
Practice Address - Street 1:2161 EASTWOOD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-2179
Practice Address - Country:US
Practice Address - Phone:330-798-1220
Practice Address - Fax:330-798-1225
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE332101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE332OtherSTATE LICENSE FOR LPCC