Most Relevant Information
Provider Data
| NPI Number: | 1003562182 |
| Provider Name: | JEFFREY HOLTHAUSEN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC013807 |
Most Important Dates
| Enumeration Date: | 02/26/2022 |
| Last Updated: | 02/26/2022 |
Provider Practice Location
1200 CALLOWHILL ST
PHILADELPHIA
PA
191233658
Practice Location Phone/Fax
| Phone: | 2158258220 |
| Fax: |
Provider Mailing Location
1109 CYMRY DR
BERWYN
PA
193122056
Provider Mailing Phone/Fax
| Phone: | 6104200316 |
| Fax: |