Individual
MR. JASON HOLTGREWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP (TEMP)
Contact information
Practice address
6363 POPLAR AVE STE 4, MEMPHIS, TN 38119-4831
(901) 245-3518
Mailing address
368 WOLF TRAP RD, COLLIERVILLE, TN 38017-2337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5143
TN
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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