Provider Demographics
NPI:1871858100
Name:HOLLIDAY, FRANCES INEZ (RAS)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:INEZ
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 INGER DR
Mailing Address - Street 2:SUITE 103 B
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8669
Mailing Address - Country:US
Mailing Address - Phone:805-346-8185
Mailing Address - Fax:805-346-8656
Practice Address - Street 1:245 INGER DR
Practice Address - Street 2:SUITE 103 B
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8669
Practice Address - Country:US
Practice Address - Phone:805-346-8185
Practice Address - Fax:805-346-8656
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)