Individual
MS. AMY IONE HOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
351 OLEMA RD, FAIRFAX, CA 94930-1339
(415) 847-3112
Mailing address
351 OLEMA RD, FAIRFAX, CA 94930-1339
(415) 847-3112
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
40489
CA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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