Holt, Reginald Wynn

Holt, Reginald Wynn is an sole proprietor health care provider with primary practice located at 6201 W Main St Suite 110, Maryville IL 62062-6870. He recently has 3 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Holt, Reginald Wynn can be contacted via phone (616) 343-6230.

Contact Information

Primary practice address
6201 W Main St Suite 110 Maryville IL 62062-6870
Phone: (616) 343-6230
Fax: (618) 343-6235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18612 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1487602827
LBN Legal business name Holt, Reginald Wynn
Credentials MA, LCPC, LPC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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