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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY LEE HOLT, LPC, LPCC LADC

Active Sole Proprietor

MR. JERRY LEE HOLT, LPC, LPCC LADC is a Mental Health Counselor healthcare provider located in PLYMOUTH, Minnesota. NPI 1437450616 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PLYMOUTH, MN

Registration Details

NPI Number
1437450616
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2010 (15.734696888486 yrs)
Last Updated
Jul 10, 2012
Licenses
302560 (MN)
LPC00797 (MN)
00416 (MN)
Sole Proprietor
Yes

Practice Information

Address
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN, 554413700
Browse MN providers · Browse ZIP 55441
Phone
7633006707
Fax
7635592116
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in PLYMOUTH, MN

Name Credential NPI
KATHRYNE E SLAVICS M.A. 1932282506
LAURIS J PRINSEN L.A.D.C. 1033281175
KATHLEEN PAIGE GULLO 1982776555
KIRA LEIGH HILDEN 1699847574
MS. MELISSA ANN BOLLINGER-KINNEY M.S.ED LPC 1114074028
MRS. ROBERTA G. LARSON L.I.C.S.W. 1952440489
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.