Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy D Holst

Individual provider Mental Health Counselor · NPI 1336864909

Jeremy D Holst is a Mental Health Counselor in Roseburg, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 440-3532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1336864909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

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