MEDICARE: MR. JEFFERY LEROY HOLCOMB LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	E.2606420	OH

General Provider Information

NPI Number	:	1710278866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFERY LEROY HOLCOMB LPCC

Provider Business Mailing Address
First Line	:	33188 ELECTRIC BLVD
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-1320
Country	:	US
Telephone Number	:	440-933-8820
Fax Number	:

Provider Business Practice Location Address
First Line	:	37231 COLORADO AVE STE 265
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1527
Country	:	US
Telephone Number	:	440-260-6161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	03/10/2026

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