Individual
JUSTIN CHAZ HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2398
(304) 425-9541
Mailing address
900 HIGHLAND AVE, BLUEFIELD, WV 24701-2729
(704) 682-6395
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WV
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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