Basic Information
| Provider Information | |||||||||
| NPI: | 1871858100 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOLLIDAY | ||||||||
| FirstName: | FRANCES | ||||||||
| MiddleName: | INEZ | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 245 INGER DR | ||||||||
| Address2: | SUITE 103 B | ||||||||
| City: | SANTA MARIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934548669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053468185 | ||||||||
| FaxNumber: | 8053468656 | ||||||||
| Practice Location | |||||||||
| Address1: | 245 INGER DR | ||||||||
| Address2: | SUITE 103 B | ||||||||
| City: | SANTA MARIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934548669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053468185 | ||||||||
| FaxNumber: | 8053468656 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2012 | ||||||||
| LastUpdateDate: | 07/12/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | CA | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.