Provider Demographics
NPI:1023358256
Name:HOLLOWAY, DANIELLE L (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:L
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DANIELLE PASCUAL
Mailing Address - Street 1:46435 CASK LN
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-1659
Mailing Address - Country:US
Mailing Address - Phone:951-414-0600
Mailing Address - Fax:
Practice Address - Street 1:46435 CASK LN
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-1659
Practice Address - Country:US
Practice Address - Phone:951-414-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103010106H00000X
CA63186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA106H00000XMedicaid
CAA9047185OtherDRIVERS LICENSE