| Doctor Name: | MRS. JODI LYNN COURTAD HOLMAN |
| NPI Number: | 1407050487 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA PCC |
| License Number: | E3919 |
| Business Practice Address: | 320 West Maple St Upper Sandusky, OH - 43351 |
| Business Phone Number: | 4192948570 |
| Business Fax Number: | 4192945795 |
| Mailing Address: | 320 West Maple St, UPPER SANDUSKY |
| State: | OH |
| Postal Code: | 43351 |
| Phone Number: | 4192948570 |
| Fax Number: | 4192945795 |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E3919 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |