Individual
MATTHEW JASON HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
469 MAIN STREET, SUITE 201, SANFORD, ME 04073
(207) 490-6600
Mailing address
469 MAIN STREET, SUITE 201, SANFORD, ME 04073
(207) 490-6600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4857
ME
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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