MR. JUSTIN DWAYNE HOLLAND - NPI 1699311191 - Counselor in San Luis Obispo, CA

Q: What is Justin Holland's NPI number?

The NPI number for Justin Holland is 1699311191. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Q: What is Justin Holland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Justin Holland was last updated on November 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Justin Dwayne Holland NPPES

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

MR. JUSTIN DWAYNE HOLLAND (NPI 1699311191) is an individual mental health provider in San Luis Obispo, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1699311191

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JUSTIN DWAYNE HOLLAND

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500 · Fax (805) 540-6501

Phone(805) 540-6500

Fax(805) 540-6501

Sole ProprietorNo

Enumeration DateNovember 20, 2019

✔ NPI 1699311191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

784 HIGH ST, San Luis Obispo, CA 93401

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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.

RAYMOND SAINT TAVAREZ

Counselor (Mental Health)