Provider Demographics
NPI:1265595177
Name:DOWLING, HOLLY ANNE (MFT)
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:ANNE
Last Name:DOWLING
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:POPE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94567-0026
Mailing Address - Country:US
Mailing Address - Phone:707-965-9632
Mailing Address - Fax:707-965-9632
Practice Address - Street 1:999 ADAMS ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1148
Practice Address - Country:US
Practice Address - Phone:707-965-9632
Practice Address - Fax:707-965-9632
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36445106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist