Individual provider · Type 1 NPI

Bethany Sue Holloway

Counselor · Santa Rosa, CA

NPI number 1376887786 Active

Practice location

634 Pressley St
Santa Rosa, CA 95404-5526

Call (707) 573-6955 Map

Fax (707) 543-8176

Mailing address

2400 County Center Dr Ste B102
Santa Rosa, CA 95403-3004

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376887786

Bethany Sue Holloway's National Provider Identifier is 1376887786, issued on Nov 26, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 2, 2020.