Doctor Name: | PATRICIA HOLDEN |
NPI Number: | 1124269972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | MFT13146 |
Business Practice Address: | 10 Willow St Suite 1 Mill Valley, CA - 949412845 |
Business Phone Number: | 4154351838 |
Business Fax Number: | 4154351809 |
Mailing Address: | Po Box 204, TIBURON |
State: | CA |
Postal Code: | 949200204 |
Phone Number: | 4154351838 |
Fax Number: | 4154351809 |
NPI Enumeration Date: | 03/07/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT13146 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |