NPI Profile for JORDAN N HOLTBY in WAYNESVILLE, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Art Therapist |
221700000X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI # | 1710304662 |
|
| Status | Active | |
| Credentials | M.ED., ATR, LPC | |
| Entity | Individual | |
| Enumeration date | 03/27/2014 | |
| Last updated | 07/02/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JORDAN N HOLTBY
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