Atasca Chiles-Holmes
Counselor, Mental Health in Lodi, CA. Individual provider (NPI-1).
NPI number1982144713
StatusActive
Last updated in NPPESMar 7, 2017
Details
- NPI
- 1982144713
- Entity type
- Individual (NPI-1)
- Name
- Atasca Chiles-Holmes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2017
- Last updated
- Mar 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
12755 N Highway 88Suite 125
Lodi, CA 95240-9323
Phone 209-465-1080
Mailing address
12755 N Highway 88Stockton, CA 95207-8251
Phone 209-465-1080
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