Organization
HOLT COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HOLT (PRESIDENT)
(916) 983-3308
Entity
Organization
Contact information
Practice address
315 W PINE ST, STE 3, LODI, CA 95240-2047
(209) 366-2273
(209) 366-2974
Mailing address
315 W PINE ST STE 3, LODI, CA 95240-2074
(209) 366-2273
(209) 366-2974
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW 9454
CA
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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