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JORDAN R HOLMAN
NPI 1801634290
Counselor - Addiction (Substance Use Disorder) in Rancho Mirage, CA

Active since July 18, 2024
69730 HIGHWAY 111 STE 109, RANCHO MIRAGE, CA 92270(760) 322-1777 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Jordan R Holman NPPES

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

JORDAN R HOLMAN (NPI 1801634290) is an individual addiction (substance use disorder) provider in Rancho Mirage, California, licensed in California (R1519030823) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1801634290
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJORDAN R HOLMAN
Location Address69730 HIGHWAY 111 STE 109Rancho Mirage, CA 92270-2873
Mailing Address69730 Highway 111 Ste 109Rancho Mirage, CA 92270-2873 · (760) 322-1777
Phone(760) 322-1777
Sole ProprietorYes
Enumeration DateJuly 18, 2024
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1801634290 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
License✔ Licensed in CA · R1519030823
69730 HIGHWAY 111 STE 109, Rancho Mirage, CA 92270
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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.

WARREN WOOD CADC-CAS
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
MR. DEWAYNE PATTERSON SR.
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
JOY YAGHOUBIAN CADC I
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 408-1348
AMBER ALVAREZ LVN
Licensed Vocational Nurse
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 409-7100
MARCIE JO GILMAN
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 507-5821
ERIC LEE RENNACKER LMFT
Marriage & Family Therapist
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-7111
AURELIA BENAVIDEZ
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
WILLIAM WORTHINGTON
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 835-2419

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 Jordan Holman's NPI number?

The NPI number for Jordan Holman is 1801634290. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Jordan Holman located?

Jordan Holman practices at 69730 Highway 111 Ste 109, Rancho Mirage, CA 92270. The listed phone number is (760) 322-1777.

What is Jordan Holman'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 Jordan Holman was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.