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NPI Code Detail

MEDICARE: RODNEY HOLMSTROM

MEDICARE: RODNEY HOLMSTROM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorP24050019AR

General Provider Information

NPI Number : 1346111036
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY HOLMSTROM
Provider Business Mailing Address
First Line : 1051 W PLEASANT GROVE RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-8052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1051 W PLEASANT GROVE RD
Second Line :
City : ROGERS
State : AR
Zip : 72758-8052
Country : US
Telephone Number : 479-659-3657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2025
Last Update Date : 03/04/2026

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Directions to “ RODNEY HOLMSTROM ” Practice Location

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