Individual
MRS. JORDAN NICHOLE HOLTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ATR, LPC
Contact information
Practice address
23415 ROSEDALE RD, WAYNESVILLE, MO 65583-2752
(870) 688-6185
Mailing address
23415 ROSEDALE RD, WAYNESVILLE, MO 65583-2752
(870) 688-6185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022035130
MO
171M00000X
Case Manager/Care Coordinator
—
AR
221700000X
Art Therapist
—
—
Other
Enumeration date
03/27/2014
Last updated
07/02/2024
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