Provider Demographics
NPI:1699078402
Name:HOLTZER, ESTHER RACHEL (LPCC, LAMFT)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:RACHEL
Last Name:HOLTZER
Suffix:
Gender:F
Credentials:LPCC, LAMFT
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:RACHEL
Other - Last Name:POOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5851 DULUTH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-3957
Mailing Address - Country:US
Mailing Address - Phone:612-202-4615
Mailing Address - Fax:
Practice Address - Street 1:5851 DULUTH ST STE 306
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-3957
Practice Address - Country:US
Practice Address - Phone:612-202-4615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-16
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1273OtherLPCC