Individual
JASON D HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D, LCMHC
Contact information
Practice address
197 LONG POND RD., DANVILLE, NH 03819
(603) 382-4661
(603) 382-0571
Mailing address
PO BOX 395, DANVILLE, NH 03819-0395
(603) 382-4661
(603) 382-0571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
192
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009729
—
NH
Enumeration date
01/24/2008
Last updated
01/24/2008
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