Individual
JEFFREY HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 745-1281
(303) 671-2854
Mailing address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 745-1281
(303) 671-2854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW-992266
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67424864
—
CO
Enumeration date
03/28/2007
Last updated
07/08/2007
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