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NPI 1649575200

NPI 1649575200 : CHRISTINE ANNE MULHOLLAND M.S., LMFT : SANTA CRUZ, CA

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General NPI Number Information
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    NPI Number           |    1649575200
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE ANNE MULHOLLAND M.S., LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2011
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    740 FRONT ST STE 220 
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    City                 |    SANTA CRUZ
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    State                |    CA
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    Zip                  |    95060-4536
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    Country              |    US
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    Telephone            |    831-318-7420
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2136 LA VONA AVE 
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    City                 |    CLOVIS
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    State                |    CA
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    Zip                  |    93619-8298
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    Country              |    US
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    Telephone            |    559-905-9680
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT 90192
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    License Number State |    CA
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