MEDICARE: CHRISTA HOLT

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	C.2103645	OH

General Provider Information

NPI Number	:	1174145627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTA HOLT

Provider Business Mailing Address
First Line	:	1182 HOMESTEAD DR
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-6593
Country	:	US
Telephone Number	:	419-371-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 S SANDUSKY AVE
Second Line	:
City	:	UPPER SANDUSKY
State	:	OH
Zip	:	43351-1424
Country	:	US
Telephone Number	:	419-294-1212
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	01/22/2026

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