Individual
CHAKA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13886 MCDONNELL ST, MORENO VALLEY, CA 92553-8530
(323) 392-1211
Mailing address
13886 MCDONNELL ST, MORENO VALLEY, CA 92553-8530
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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