Individual
MRS. BETHANY SUE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 543-8176
Mailing address
2400 COUNTY CENTER DR STE B102, SANTA ROSA, CA 95403-3004
(707) 566-0170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Enumeration date
11/26/2012
Last updated
12/02/2020
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