Individual
BRANDY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6147 SUTTER AVE, CARMICHEAL, CA 95608-2738
(916) 971-7640
Mailing address
6147 SUTTER AVE, CARMICHAEL, CA 95608-2738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140966
CA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/13/2019
Last updated
09/13/2023
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