Individual provider · Type 1 NPI
Jordan Beth Holthaus
Addiction (Substance Use Disorder) Counselor · Des Moines, IA
NPI number
1114395068
Active
Practice location
1409 Clark St
Des Moines, IA 50314-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114395068
Jordan Beth Holthaus's National Provider Identifier is 1114395068, issued on Sep 9, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Des Moines, IA. The record was last updated on Sep 9, 2015.