Individual
JESSECA LEE HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
2501 ALLEGHANY LOOP, VIRGINIA BEACH, VA 23456-2442
(858) 349-0873
(858) 349-0873
Mailing address
321 CASSIDY ST, OCEANSIDE, CA 92054-5314
(760) 721-2171
(760) 721-8582
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717001507
VA
106H00000X
Marriage & Family Therapist
Primary
95098
CA
Other
Enumeration date
01/19/2011
Last updated
03/01/2020
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