Individual provider · Type 1 NPI

Bridjae Holston, ACSW

Mental Health Counselor · Rancho Cucamonga, CA

NPI number 1649060302 Active

Practice location

9065 Haven Ave Ste 110
Rancho Cucamonga, CA 91730-5429

Call (909) 757-5770 Map

Mailing address

P.o. Box 12672 Limonite Avenue, Suite 3E, #143
Eastvale, CA 92880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X120268 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1649060302

Bridjae Holston, ACSW's National Provider Identifier is 1649060302, issued on May 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on May 7, 2025.