Healthcare Provider Details

I. General information

NPI: 1326514456
Provider Name (Legal Business Name): HOLLY ANN CVETICH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HOLLY ANN STARR LMFT

II. Dates (important events)

Enumeration Date: 10/16/2018
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 MAYHEW WAY STE 300
PLEASANT HILL CA
94523-4398
US

IV. Provider business mailing address

140 MAYHEW WAY STE 300
PLEASANT HILL CA
94523-4398
US

V. Phone/Fax

Practice location:
  • Phone: 925-330-0518
  • Fax:
Mailing address:
  • Phone: 925-330-0518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number22500
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: