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Organization
CASA SERENA EATING DISORDERS PROGRAM
Active
Organization
CASA SERENA EATING DISORDERS PROGRAM
Active
Other names
Jacquelyn L Holmes
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACQUELYN LEE HOLMES MFT (OWNER/DIRECTOR)
(925) 682-8252
Entity
Organization
Contact information
Practice address
1868 CLAYTON RD, SUITE 123, CONCORD, CA 94520-2547
(925) 682-8252
(925) 682-8313
Mailing address
1868 CLAYTON RD, SUITE 123, CONCORD, CA 94520-2547
(925) 682-8252
(925) 682-8313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC25575
CA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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