Provider Demographics
NPI:1821200866
Name:SEATON, HOLLY (RN, MFT)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:SEATON
Suffix:
Gender:F
Credentials:RN, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 W NAPA ST
Mailing Address - Street 2:2
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6408
Mailing Address - Country:US
Mailing Address - Phone:707-939-3623
Mailing Address - Fax:
Practice Address - Street 1:710 W NAPA ST
Practice Address - Street 2:2
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6408
Practice Address - Country:US
Practice Address - Phone:707-939-3623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC28294106H00000X
CARN216289163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult