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Individual
JONATHAN HOLM
Active
Individual
JONATHAN HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
059532
ID
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
Primary
4761571
ID
1041C0700X
Clinical Social Worker
4761571
ID
Other
Enumeration date
05/09/2023
Last updated
09/03/2026
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