Individual
JACK EDWARD HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
103 1/2 S MAIN ST STE 10, LIVINGSTON, MT 59047-2693
(406) 223-2725
Mailing address
103 1/2 S MAIN ST STE 10, LIVINGSTON, MT 59047-2693
(406) 223-2725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-64868
MT
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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