Provider Demographics
NPI:1992037063
Name:MILESTONE FAMILY COUNSELING, PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:MILESTONE FAMILY COUNSELING, PROFESSIONAL CORPORATION
Other - Org Name:JANINE F. HOLLOWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-236-5369
Mailing Address - Street 1:200 CAMINO AGUAJITO
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3372
Mailing Address - Country:US
Mailing Address - Phone:831-236-5369
Mailing Address - Fax:831-372-2769
Practice Address - Street 1:200 CAMINO AGUAJITO
Practice Address - Street 2:SUITE 206
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3372
Practice Address - Country:US
Practice Address - Phone:831-236-5369
Practice Address - Fax:831-372-2769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46740106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty