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

MRS. JORDAN NICHOLE HOLTBY, M.ED., ATR, LPC

Deactivated

MRS. JORDAN NICHOLE HOLTBY, M.ED., ATR, LPC is a Mental Health Counselor healthcare provider located in WAYNESVILLE, Missouri. NPI 1710304662 is deactivated in the NPPES registry. Verify at CMS.

Mental Health Counselor · WAYNESVILLE, MO

This NPI has been deactivated. The record was deactivated on April 8, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1710304662
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2014 (5.0327868852459 yrs)
Last Updated
Jul 2, 2024
Deactivated
Apr 8, 2019
License
2022035130 (MO)

Practice Information

Address
23415 ROSEDALE RD
WAYNESVILLE, MO, 655832752
Browse MO providers · Browse ZIP 65583
Phone
8706886185
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Art Therapist
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in WAYNESVILLE, MO

Name Credential NPI
KELLY ANN KUGEL LPC 1518005446
MR. JOSEPH GAROLD MOODY LPC, NCC, RSAP-P 1447436001
MR. THOMAS WAYNE WASHBURN PSYD, LPC 1396902029
MRS. JENNIFER D SIMMONS LPC 1295964245
JENNIFER KRIDELBAUGH 1003107228
MRS. MARTA ELENA COOK LPC 1730464439
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.