Individual
DR. CONSTANCE L HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
8080 MADISON AVE, SUITE 200D, FAIR OAKS, CA 95628-3759
(916) 616-8561
(916) 534-7753
Mailing address
8080 MADISON AVE, SUITE 200D, FAIR OAKS, CA 95628-3759
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18209
CA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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