Individual
DR. RICHARD G. HOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1731 N OAK ST, CALISTOGA, CA 94515-1118
(707) 939-9921
(707) 939-9931
Mailing address
PO BOX 1369, SONOMA, CA 95476-1369
(707) 939-9921
(707) 939-9931
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PL60530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL60531
—
CA
Enumeration date
05/03/2007
Last updated
07/09/2007
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