MR. JERALD CRAIG HOLLAND M.ED. LMHC NPI 1043286487

NPI Information

NPI: 1043286487
Provider Name: MR. JERALD CRAIG HOLLAND, M.ED., LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
501 CENTRE ST
SUITE 117
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 753-1563
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MR. Jerald Craig Holland, M.ED., LMHC is a mental health counselor in Fernandina Beach, FL. MR. Jerald Craig Holland, M.ED., LMHC NPI is 1043286487. 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:

501 CENTRE ST
SUITE 117
FERNANDINA BEACH, FL
ZIP 32034-936
Phone: (904) 753-1563
Fax: (904) 491-0477

The enumeration date for this NPI number is 2/26/2006 and was last updated on 7/9/2007.

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	101YM0800X	Counselor	Mental Health	MH5407	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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