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

Jordan R Holman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801634290

Jordan R Holman is an Addiction (Substance Use Disorder) Counselor in Rancho Mirage, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873
Phone: (760) 322-1777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1519030823 (CA)

Record details

NPI number1801634290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 18, 2024
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address69730 Highway 111 Ste 109, Rancho Mirage, CA 92270-2873

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