Jack Edward Holt, LCSW

NPI #1619758802 in Livingston, Montana

Provider Information

NPI Number: 1619758802
Entity Type: Individual
Name: Jack Edward Holt, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 12, 2023
Last Updated: Oct 12, 2023

Practice Location

Address: 103 1/2 S MAIN ST STE 10
City: Livingston
State: Montana
ZIP Code: 59047-2693
Phone: (406) 223-2725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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