Doctor Name: | MR. JAMES EARL HOLLAND |
NPI Number: | 1558510743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 701 Scofield Ave Wasco, CA - 932807515 |
Business Phone Number: | 6617588400 |
Business Fax Number: | 6617587082 |
Mailing Address: | 701 Scofield Ave, WASCO |
State: | CA |
Postal Code: | 932807515 |
Phone Number: | 6617588400 |
Fax Number: | 6617587082 |
NPI Enumeration Date: | 09/12/2008 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |