Individual
MRS. ANDREA L HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1420 CHAFFEE ST APT 154, UPLAND, CA 91786-5575
(760) 261-0669
Mailing address
13534 IRONSTONE AVE, VICTORVILLE, CA 92392-8823
(760) 261-0669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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