| Doctor Name: | JASON D HOLDER |
| NPI Number: | 1003093709 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D, LCMHC |
| License Number: | 192 |
| Business Practice Address: | 197 Long Pond Rd. Danville, NH - 03819 |
| Business Phone Number: | 6033824661 |
| Business Fax Number: | 6033820571 |
| Mailing Address: | Po Box 395, DANVILLE |
| State: | NH |
| Postal Code: | 038190395 |
| Phone Number: | 6033824661 |
| Fax Number: | 6033820571 |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |