Organization
JENTRY HOLTHUS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENTRY HOLTHUS LPC (OWNER)
(541) 941-8752
Entity
Organization
Contact information
Practice address
328 S CENTRAL AVE STE 206, MEDFORD, OR 97501-7274
(541) 500-8655
(800) 433-1396
Mailing address
PO BOX 1787, MEDFORD, OR 97501-0261
(541) 500-8655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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