MR. JEFFREY HOLLAND LCSW NPI 1467902098

NPI Information

NPI: 1467902098
Provider Name: MR. JEFFREY HOLLAND, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
509 CARDENAS DR SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 268-3372
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MR. Jeffrey Holland, LCSW is a counselor in Albuquerque, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Jeffrey Holland, LCSW NPI is 1467902098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

509 CARDENAS DR SE
ALBUQUERQUE, NM
ZIP 87108-721
Phone: (505) 268-3372

The enumeration date for this NPI number is 10/6/2016 and was last updated on 2/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C-09763	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89729811	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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