Provider Demographics
NPI:1639311251
Name:HOLT, JENNIFER A (LMHP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:HOLT
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S 70TH ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-7905
Mailing Address - Country:US
Mailing Address - Phone:402-325-0117
Mailing Address - Fax:
Practice Address - Street 1:1001 S 70TH ST
Practice Address - Street 2:SUITE 225
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-7905
Practice Address - Country:US
Practice Address - Phone:402-325-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health