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Jacquelyn Lee Holmes, MFT

Specialist in Concord, CA. Individual provider (NPI-1).

NPI number1457487571
StatusActive
Last updated in NPPESOct 22, 2007

Details

NPI
1457487571
Entity type
Individual (NPI-1)
Name
Ms. Jacquelyn Lee Holmes
Credential
MFT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 25, 2007
Last updated
Oct 22, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMFC25575CAYes
106H00000X Marriage & Family TherapistMFC25575CA

Practice location

1868 Clayton Rd
Suite 230
Concord, CA 94520-2547

Phone 925-682-4891 · Fax 925-682-5535

Mailing address

1868 Clayton Rd
Suite 230
Concord, CA 94520-2547

Phone 925-682-4891 · Fax 925-682-5535

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