Individual
JENNA K HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
336 S WAYNE AVE, WAYNESBORO, VA 22980-4738
(434) 444-3416
Mailing address
336 S WAYNE AVE, WAYNESBORO, VA 22980-4738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004491
VA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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