Organization
CANYON OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM HOLOCHECK (LCWS)
(408) 313-7317
Entity
Organization
Contact information
Practice address
400 EDMONDS RD., REDWOOD CITY, CA 94062
(650) 839-1810
Mailing address
400 EDMONDS RD, REDWOOD CITY, CA 94062-3803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
01/06/2010
Last updated
02/05/2010
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