| Holt Counseling Center | |
|
315 W Pine St Ste 3 Lodi CA 95240-2047 | |
| (209) 366-2273 | |
| (209) 366-2974 |
| Full Name | Holt Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 315 W Pine St, Lodi, California |
| Authorized Official Name and Position | Diana Holt (PRESIDENT) |
| Authorized Official Contact | 9169833308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holt Counseling Center 315 W Pine St Ste 3 Lodi CA 95240-2074 Ph: (209) 366-2273 | Holt Counseling Center 315 W Pine St Ste 3 Lodi CA 95240-2047 Ph: (209) 366-2273 |
| NPI Number | 1548663362 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548663362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW 9454 (California) | Primary |
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