Individual provider · Type 1 NPI

Jacory Holt, RADT

Addiction (Substance Use Disorder) Counselor · Murrieta, CA

NPI number 1366975054 Active

Practice location

40700 California Oaks Rd, 202
Murrieta, CA 92562-5795

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366975054

Jacory Holt, RADT's National Provider Identifier is 1366975054, issued on Apr 10, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Murrieta, CA. The record was last updated on Apr 10, 2017.