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JACORY HOLT RADT
NPI 1366975054
Counselor - Addiction (Substance Use Disorder) in Murrieta, CA

Active since April 10, 2017
40700 CALIFORNIA OAKS RD, 202, MURRIETA, CA 92562(951) 894-5072 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacory Holt Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACORY HOLT RADT (NPI 1366975054) is an individual addiction (substance use disorder) provider in Murrieta, California and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1366975054
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACORY HOLTCredential: RADT
Location Address40700 CALIFORNIA OAKS RD, 202Murrieta, CA 92562-5795
Mailing Address40700 California Oaks Rd, 202Murrieta, CA 92562-5795
Phone(951) 894-5072
Sole ProprietorNo
Enumeration DateApril 10, 2017
✔ NPI 1366975054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
40700 CALIFORNIA OAKS RD, Murrieta, CA 92562
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Other Identifiers 1

Medicaid1578665790CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLA VANDER KALLEN LVN
Licensed Vocational Nurse
40700 CALIFORNIA OAKS RD, SUITE 202
MURRIETA, CA 92562
Riverside County (951) 894-5072
LACHATTA PATRECE HUNTER CADC II
Counselor (Addiction (Substance Use Disorder))
40700 CALIFORNIA OAKS RD
MURRIETA, CA 92562
Riverside County (951) 880-8318
TRYPHENA ARTHUR
Counselor (Addiction (Substance Use Disorder))
40700 CALIFORNIA OAKS RD, 201,202,203
MURRIETA, CA 92562
Riverside County (951) 894-5072
JENNIFER LOA LVN
Licensed Vocational Nurse
40700 CALIFORNIA OAKS RD
MURRIETA, CA 92562
Riverside County (951) 894-5072
MR. RONDEY DE WAYNE DUPREE
Counselor (Addiction (Substance Use Disorder))
40700 CALIFORNIA OAKS RD, SUITE 202
MURRIETA, CA 92562
Riverside County (951) 894-5072
MRS. SHEREE LEE WITTMAN
Case Manager/Care Coordinator
40700 CALIFORNIA OAKS RD, SUITE 202
MURRIETA, CA 92562
Riverside County (951) 894-5072
MELISSA LYNN GARCIA
Licensed Vocational Nurse
40700 CALIFORNIA OAKS RD, STE #202
MURRIETA, CA 92562
Riverside County (951) 894-5072
DR. FRANK A. MANGANO M.D.
Radiology (Diagnostic Neuroimaging)
40700 CALIFORNIA OAKS RD, SUITE 103
MURRIETA, CA 92562
Riverside County (951) 894-4418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacory Holt's NPI number?

The NPI number for Jacory Holt is 1366975054. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Jacory Holt located?

Jacory Holt practices at 40700 California Oaks Rd 202, Murrieta, CA 92562. The listed phone number is (951) 894-5072.

What is Jacory Holt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacory Holt was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.