JEREMY D HOLST

ROSEBURG, OR
NPI1336864909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-10-06
Last Update Date2022-10-06
Business Address
JEREMY D HOLST
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
Mailing Address
JEREMY D HOLST
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-440-3532
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