Individual
JESSICA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA, CDPT
Contact information
Practice address
1000 AUBURN WAY S, AUBURN, WA 98002-6132
(253) 939-2202
(253) 735-1894
Mailing address
1000 AUBURN WAY S, AUBURN, WA 98002-6132
(253) 939-2202
(253) 735-1894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60665416
WA
106H00000X
Marriage & Family Therapist
Primary
MG60697242
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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