Holt, Jerry Lee

Holt, Jerry Lee is an sole proprietor health care provider with primary practice located at 13895 Industrial Park Blvd , Plymouth MN 55441-3700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Holt, Jerry Lee can be contacted via phone (763) 300-6707.

Contact Information

Primary practice address
13895 Industrial Park Blvd Plymouth MN 55441-3700
Phone: (763) 300-6707
Fax: (763) 559-2116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302560 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC00797 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00416 Minnesota

Profile Details

NPI number 1437450616
LBN Legal business name Holt, Jerry Lee
Credentials LPC, LPCC LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2010
Last updated Jul 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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