Provider Demographics
NPI:1225167034
Name:HALSEY, HOLLY ANN (LAC, DIPL AC)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:ANN
Last Name:HALSEY
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 JAMACHA RD
Mailing Address - Street 2:#502-38
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-4366
Mailing Address - Country:US
Mailing Address - Phone:619-857-2920
Mailing Address - Fax:
Practice Address - Street 1:9449 BALBOA AVE STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4336
Practice Address - Country:US
Practice Address - Phone:858-569-4545
Practice Address - Fax:858-569-4546
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6531171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist