Provider Demographics
NPI:1740456359
Name:HOLMSTEN, JONATHAN ELLIOT (MS, LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:ELLIOT
Last Name:HOLMSTEN
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 S. CAPITAL OF TEXAS HWY SUITE A-200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7753
Mailing Address - Country:US
Mailing Address - Phone:512-298-6216
Mailing Address - Fax:
Practice Address - Street 1:2499 S. CAPITAL OF TEXAS HWY SUITE A-200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7753
Practice Address - Country:US
Practice Address - Phone:512-298-6216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62944101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional