Provider Demographics
NPI:1750785390
Name:MULHOLLAND, DARCEL (LCSW)
Entity type:Individual
Prefix:MS
First Name:DARCEL
Middle Name:
Last Name:MULHOLLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 ENCINO DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-1988
Mailing Address - Country:US
Mailing Address - Phone:858-729-8343
Mailing Address - Fax:760-542-6392
Practice Address - Street 1:138 CIVIC CENTER DR
Practice Address - Street 2:SUITE 227
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-6173
Practice Address - Country:US
Practice Address - Phone:858-729-8343
Practice Address - Fax:760-542-6392
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW625921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical