Individual
ANDREW HOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
771 W ORANGETHORPE AVE, FULLERTON, CA 92832-2806
(714) 879-0929
(714) 578-2960
Mailing address
18 ALBA E, IRVINE, CA 92620-1901
(949) 355-6377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10774
CA
Other
Enumeration date
11/20/2017
Last updated
06/17/2021
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