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JEREMY HOLDEN

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1407236334

Individual Registrant:
 JEREMY  HOLDEN 
Gender: M
Sole Proprietor

Location and contact information for practice:
333 N LA GRANGE RD SUITE ONE LA GRANGE PARK, IL 60526-5646 US
Tel: 708-745-5277  Fax: --

Contact information for business:
333 N LA GRANGE RD SUITE ONE LA GRANGE PARK, IL 60526-5646 US
Tel: 708-745-5277  Fax: --

Registration Information:
NPI: 1407236334
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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