Provider Demographics
NPI:1093940728
Name:HOLLINBECK, MARGARET (MFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HOLLINBECK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2902
Mailing Address - Country:US
Mailing Address - Phone:916-804-1371
Mailing Address - Fax:
Practice Address - Street 1:2623 24TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2515
Practice Address - Country:US
Practice Address - Phone:916-704-7920
Practice Address - Fax:916-444-2173
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41936106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist