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

Mr. Jerry Lee Holt, LPC, LPCCLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1437450616

Mr. Jerry Lee Holt, LPC, LPCCLADC is an Addiction (Substance Use Disorder) Counselor in Plymouth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

13895 Industrial Park Blvd
Plymouth, MN 55441-3700
Phone: (763) 300-6707
Fax: (763) 559-2116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 00416 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302560 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC00797 (MN)

Record details

NPI number1437450616
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LPCCLADC
Sole proprietorYes
NPI enumeratedNovember 4, 2010
Last updated in NPPESJuly 10, 2012

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