Provider Demographics
NPI:1922118835
Name:HOLT, JUDY MARIE (NCC LPC)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:MARIE
Last Name:HOLT
Suffix:
Gender:F
Credentials:NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MC GUIRE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-8726
Mailing Address - Country:US
Mailing Address - Phone:828-884-9719
Mailing Address - Fax:828-862-4727
Practice Address - Street 1:372 MONTFORD AVE
Practice Address - Street 2:FINE PSYCHOLOGICAL ASSOCIATES
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1050
Practice Address - Country:US
Practice Address - Phone:828-254-0308
Practice Address - Fax:828-254-0358
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4512101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor