Individual provider · Type 1 NPI
Holliston Dizon, LCSW
Mental Health Counselor · Pasadena, CA
NPI number
1457971897
Active
Practice location
867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 125503 (CA) |
| Mental Health Counselor Primary | 101YM0800X | 125503 (CA) |
| Social Worker | 104100000X | 125503 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1457971897
Holliston Dizon, LCSW's National Provider Identifier is 1457971897, issued on Apr 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pasadena, CA. The record was last updated on Sep 12, 2024.