Individual
ATASCA CHILES-HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12755 N HIGHWAY 88, SUITE 125, LODI, CA 95240-9323
(209) 465-1080
Mailing address
12755 N HIGHWAY 88, STOCKTON, CA 95207-8251
(209) 465-1080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
03/07/2017
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