MEDICARE: MRS. GEMMA RACHEL HOLMES LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265799654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GEMMA RACHEL HOLMES LMFT

Provider Business Mailing Address
First Line	:	28991 OLD TOWN FRONT ST STE 102
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92590-2858
Country	:	US
Telephone Number	:	858-837-0745
Fax Number	:	877-728-4773

Provider Business Practice Location Address
First Line	:	28991 OLD TOWN FRONT ST STE 102
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92590-2858
Country	:	US
Telephone Number	:	858-837-0745
Fax Number	:	877-728-4773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	01/16/2026

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