Provider Demographics
NPI:1891823639
Name:HOLMES, NINA LINDA-JANE (MFT)
Entity Type:Individual
Prefix:MS
First Name:NINA
Middle Name:LINDA-JANE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:NINA
Other - Middle Name:LINDAJANE
Other - Last Name:HOLMES-INIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:15335 CALLE ENRIQUE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5622
Mailing Address - Country:US
Mailing Address - Phone:408-218-1106
Mailing Address - Fax:408-872-4489
Practice Address - Street 1:15335 CALLE ENRIQUE
Practice Address - Street 2:SUITE 2
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5622
Practice Address - Country:US
Practice Address - Phone:408-218-1106
Practice Address - Fax:408-872-4489
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 51176106H00000X
CA48039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist