Holton, Jessica Denise

Holton, Jessica Denise is an individual health care provider with primary practice located at 740 Greenville Blvd Se Ste 400-208 , Greenville NC 27858-5135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Holton, Jessica Denise can be contacted via phone (252) 987-3039.

Contact Information

Primary practice address
740 Greenville Blvd Se Ste 400-208 Greenville NC 27858-5135
Phone: (252) 987-3039
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005187 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 963 North Carolina

Profile Details

NPI number 1780727909
LBN Legal business name Holton, Jessica Denise
Credentials MSW, LCSW, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780727909 NPPES
North Carolina Other 447992 TRICARE PIN
North Carolina Other 11612221 TRICARE PIN
North Carolina Other 56162 TRICARE PIN
North Carolina MEDICAID 1780727909 TRICARE PIN
North Carolina Other 142CH TRICARE PIN

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