Provider Demographics
NPI:1902108707
Name:HOLMQUIST AND HOLMQUIST
Entity Type:Organization
Organization Name:HOLMQUIST AND HOLMQUIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-483-6355
Mailing Address - Street 1:112 N CURRY ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4934
Mailing Address - Country:US
Mailing Address - Phone:626-483-6355
Mailing Address - Fax:626-357-4117
Practice Address - Street 1:248 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-5522
Practice Address - Country:US
Practice Address - Phone:626-483-6355
Practice Address - Fax:626-357-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 7718106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty