Individual provider · Type 1 NPI

Reginald Wynn Holt, MA, LCPC, LPC, CADC

Professional Counselor · Maryville, IL

NPI number 1487602827 Active

Practice location

6201 W Main St, Suite 110
Maryville, IL 62062-6870

Call (616) 343-6230 Map

Fax (618) 343-6235

Mailing address

1824 Rutger St
St. Louis, MO 63104-2944

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18612 (IL)
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1487602827

Reginald Wynn Holt, MA, LCPC, LPC, CADC's National Provider Identifier is 1487602827, issued on May 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maryville, IL. The record was last updated on Sep 11, 2025.