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NPI Code Detail

MEDICARE: HOLLY A MCNERNEY MA, LPCC9923

MEDICARE: HOLLY A MCNERNEY MA, LPCC9923
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
1101YP2500XProfessional CounselorLPCC9923CA
2101YM0800XMental Health Counselor
3101YM0800XMental Health CounselorAPCC5653CA

General Provider Information

NPI Number : 1396813747
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY A MCNERNEY MA, LPCC9923
Provider Business Mailing Address
First Line : 1738 S TREMONT ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5309
Country : US
Telephone Number : 760-439-2800
Fax Number : 760-433-5031
Provider Business Practice Location Address
First Line : 1738 S TREMONT ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5309
Country : US
Telephone Number : 760-439-2800
Fax Number : 760-433-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2006
Last Update Date : 01/05/2024

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Directions to “ HOLLY A MCNERNEY MA, LPCC9923” Practice Location

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