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NPI Code Detail

MEDICARE: JACI HOLLAND

MEDICARE:   JACI  HOLLAND
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
1101YP2500XProfessional CounselorTX

General Provider Information

NPI Number : 1740132109
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACI HOLLAND
Provider Business Mailing Address
First Line : 3500 OAK LAWN AVE STE 730
Second Line :
City : DALLAS
State : TX
Zip : 75219-6721
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3500 OAK LAWN AVE STE 730
Second Line :
City : DALLAS
State : TX
Zip : 75219-6721
Country : US
Telephone Number : 214-717-9981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ JACI HOLLAND ” Practice Location

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