Doctor Name: | HOLLAND CHASMA JORDAN |
NPI Number: | 1063736825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW, MSW |
License Number: | 27059 |
Business Practice Address: | 4951 Arroyo Rd Livermore, CA - 945509650 |
Business Phone Number: | 9253734700 |
Business Fax Number: | |
Mailing Address: | 4951 Arroyo Rd, LIVERMORE |
State: | CA |
Postal Code: | 945509650 |
Phone Number: | 9253734700 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 27059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |