MS. ELIZABETH JEAN ST. HOLLAND CADAC II - NPI 1639501000

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Ms. Elizabeth Jean St. Holland Cadac Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH JEAN ST. HOLLAND CADAC II (NPI 1639501000) is an individual addiction (substance use disorder) provider in Oceanside, California, licensed in California (A022850516) and active in the NPI registry since August 2013. She maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1639501000

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. ELIZABETH JEAN ST. HOLLANDCredential: CADAC II

Location Address3230 WARING CT STE AOceanside, CA 92056-4509

Mailing Address3230 Waring Ct Ste AOceanside, CA 92056-4509 · (760) 305-7528 · Fax (760) 509-4410

Phone(760) 305-7528

Fax(760) 305-7528

Sole ProprietorNo

Enumeration DateAugust 7, 2013

Last NPPES UpdateMarch 7, 20192 updates tracked since enumeration

✔ NPI 1639501000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · A022850516

3230 WARING CT STE A, Oceanside, CA 92056

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Secondary Practice Location 1

Location 11100 Sportfisher DrOceanside, CA 92054-2550 · Phone (760) 439-6702 ext. 204

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA MARIE CLARK LVN

Licensed Vocational Nurse