Healthcare Provider Details

I. General information

NPI: 1932735545
Provider Name (Legal Business Name): SARAH RENEE HOLLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2020
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 E SOUTH ST
ORLAND CA
95963-9136
US

IV. Provider business mailing address

PO BOX 274
ARTOIS CA
95913-0274
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-6459
  • Fax:
Mailing address:
  • Phone: 530-351-8468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number10544
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156790
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: