Search › California › 101YA0400X

Jerral Holman, CADC II

NPI 1790572626 · on the registry since 2025 · sole proprietor

Practice

Address
5536 Lime Ave Apt B
Long Beach, CA 90805
Phone
(651) 757-7620
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California