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Individual

JEANNETTE HOLTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBSW

Contact information

Practice address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
(269) 926-0123
Mailing address
PO BOX 929, BENTON HARBOR, MI 49023-0929
(269) 926-0015
(269) 926-0123

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker
6802034519
MI

Other

Enumeration date
07/21/2014
Last updated
07/21/2014
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