Individual provider · Type 1 NPI

Jordan R. Holman

Addiction (Substance Use Disorder) Counselor · Rancho Mirage, CA

NPI number 1801634290 Active

Practice location

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873

Call (760) 322-1777 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1519030823 (CA)

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

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About NPI 1801634290

Jordan R. Holman's National Provider Identifier is 1801634290, issued on Jul 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rancho Mirage, CA. The record was last updated on May 15, 2025.