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Organization
LIGHTHOUSE MENTAL HEALTH FAMILY THERAPY SERVICES
Active
Organization
LIGHTHOUSE MENTAL HEALTH FAMILY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLETTA M HOLLOWAY LMFT (OWNER)
(707) 689-5553
Entity
Organization
Contact information
Practice address
190 S ORCHARD AVE STE A110, VACAVILLE, CA 95688-3649
(707) 689-5553
(707) 660-8206
Mailing address
PO BOX 1787, VACAVILLE, CA 95696-1787
(707) 689-5553
(707) 660-8206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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