NPI 1104121342

Jesseca Lee Holston, MALMFT

Practitioner Marriage & Family Therapist Virginia Beach, VA

Practice location

Address: 2501 Alleghany Loop, Virginia Beach, VA 23456-2442
Phone: (858) 349-0873
Fax: (858) 349-0873
Mailing address: 321 Cassidy St, Oceanside, CA 92054-5314

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 95098 (CA)

Other Marriage & Family Therapist providers in Virginia →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 0717001507 (VA)

Registry record

NPI: 1104121342
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2011
Record last updated: 1 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.