Individual provider · Type 1 NPI

Jacob Holthoff

Professional Counselor · Champaign, IL

NPI number 1063150175 Active

Practice location

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385

Call (217) 722-9079 Map

Fax (217) 501-4322

Other practice locations

  • 1612 Patton Dr, Mahomet, IL 61853-8157 · (217) 590-4178

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178018951 (IL)

Professional Counselor: Definition to come...

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About NPI 1063150175

Jacob Holthoff's National Provider Identifier is 1063150175, issued on May 27, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Champaign, IL. The record was last updated on Jan 18, 2025.