Healthcare Provider Details

I. General information

NPI: 1942492467
Provider Name (Legal Business Name): MS. HOLLY ANNE SALGUEIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 BOX CANYON RD
FALLBROOK CA
92028-1601
US

IV. Provider business mailing address

874 VINE ST APT 14
OCEANSIDE CA
92054-4299
US

V. Phone/Fax

Practice location:
  • Phone: 760-310-0884
  • Fax:
Mailing address:
  • Phone: 760-741-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49622
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: