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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790572626

Jerral Holman, CADCII is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

5536 Lime Ave Apt B
Long Beach, CA 90805-5581
Phone: (651) 757-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A066000325 (CA)

Record details

NPI number1790572626
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII
Sole proprietorYes
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

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