Individual
CECIL HOLSTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Mailing address
2332 SAINT JAMES WOODS BLVD, TOLEDO, OH 43617-1228
(419) 279-0933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1000494
OH
1041C0700X
Clinical Social Worker
Primary
1000494
—
Other
Enumeration date
10/06/2017
Last updated
01/22/2026
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