Provider Demographics
NPI:1598789646
Name:HOLBEN, JAMES LESTER (LMSW, CTRS, CPRP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LESTER
Last Name:HOLBEN
Suffix:
Gender:M
Credentials:LMSW, CTRS, CPRP
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:L
Other - Last Name:HOLBEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, CTRS, CPRP
Mailing Address - Street 1:419 5TH ST NE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-3318
Mailing Address - Country:US
Mailing Address - Phone:701-271-3295
Mailing Address - Fax:
Practice Address - Street 1:419 5TH ST NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3318
Practice Address - Country:US
Practice Address - Phone:701-271-3295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND40271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical