person
Mr. Reginald Wynn Holt, MA,LCPC,LPC,CADC
Professional Counselor in Maryville, Illinois
NPI 1487602827

Reginald Wynn Holt is a Professional Counselor based in Saint Louis, IL and is specialized in Professional. Reginald Wynn Holt practices in Maryville, IL and has the professional credentials of MA,LCPC,LPC,CADC. The NPI Number for Reginald Wynn Holt is 1487602827 and holds a License No. 18612 (Illinois).

The current practice location address for Reginald Wynn Holt is 6201 W Main St, Maryville, IL and can be reached out via phone at 616-343-6230 and via fax at 618-343-6235.

Location: 6201 W Main St, Maryville, IL, 63104-2944
person
Provider Profile Details
NPI Number
1487602827
Provider Name
Reginald Wynn Holt
Credential
MA,LCPC,LPC,CADC
Provider Entity Type
Individual
Gender
Male
Address
6201 W Main St, Maryville, IL, 63104-2944
Phone Number
616-343-6230
Fax Number
618-343-6235
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6201 W Main St
City
State
Zip
62062-6870
Phone Number
616-343-6230
Fax Number
618-343-6235
person
Provider Business Mailing Address Details
Address
6201 W Main St
City
State
Zip
62062-6870
Phone Number
616-343-6230
Fax Number
618-343-6235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
18612 (Illinois)
Definition
Definition to come...
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