Individual
BRIDJAE HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
9065 HAVEN AVE STE 110, RANCHO CUCAMONGA, CA 91730-5429
(909) 757-5770
Mailing address
P.O. BOX 12672 LIMONITE AVENUE, SUITE 3E, #143, EASTVALE, CA 92880
(909) 757-5770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
120268
CA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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