person
Mr. Jerry Lee Holt, LPC,LPCCLADC
Mental Health Counselor in Plymouth, Minnesota
NPI 1437450616

Jerry Lee Holt is a Mental Health Counselor based in Plymouth, MN and is specialized in Mental Health. Jerry Lee Holt practices in Plymouth, MN and has the professional credentials of LPC,LPCCLADC. The NPI Number for Jerry Lee Holt is 1437450616 and holds a License No. 302560 (Minnesota).

The current practice location address for Jerry Lee Holt is 13895 Industrial Park Blvd, Plymouth, MN and can be reached out via phone at 763-300-6707 and via fax at 763-559-2116.

Location: 13895 Industrial Park Blvd, Plymouth, MN, 55441-3700
person
Provider Profile Details
NPI Number
1437450616
Provider Name
Jerry Lee Holt
Credential
LPC,LPCCLADC
Provider Entity Type
Individual
Gender
Male
Address
13895 Industrial Park Blvd, Plymouth, MN, 55441-3700
Phone Number
763-300-6707
Fax Number
763-559-2116
Provider Enumeration Date
11/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13895 Industrial Park Blvd
City
State
Zip
55441-3700
Phone Number
763-300-6707
Fax Number
763-559-2116
person
Provider Business Mailing Address Details
Address
13895 Industrial Park Blvd
City
State
Zip
55441-3700
Phone Number
763-300-6707
Fax Number
763-559-2116
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC00797 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
302560 (Minnesota)
Definition
Definition to come...
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