Individual
CRAIG HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
118 MAPLE AVE, BELLEFONTAINE, OH 43311
(937) 599-1975
(937) 599-2769
Mailing address
PO BOX 817, 1521 N DETROIT ST, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-3505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001190
OH
104100000X
Social Worker
Primary
S0028439
OH
Other
Enumeration date
03/18/2008
Last updated
03/25/2008
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