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Contact Information

JORDAN N HOLTBY, M.ED., ATR, LPC
23415 ROSEDALE RD
WAYNESVILLE, MO65583-2752
 Phone: 870-688-6185
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for JORDAN N HOLTBY · (Female)

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
  • MO License # 2022035130
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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