Individual
JENNIFER L HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
103 2ND AVE, CHESAPEAKE, OH 45619-1134
(740) 451-7627
Mailing address
103 2ND AVE, CHESAPEAKE, OH 45619-1134
(740) 451-7627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.173710
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2020
Last updated
05/29/2020
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