HOLLY FORMAN

HUNTINGTON BEACH, CA
NPI1487166765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  97799)
Enumeration Date2017-10-26
Last Update Date2020-02-25
Business Address
HOLLY FORMAN LMFT
17121 TIFFANY CIRCLE
HUNTINGTON BEACH, CA 92649
Phone number: 714-293-0628
Mailing Address
HOLLY FORMAN LMFT
17121 TIFFANY CIR
HUNTINGTON BEACH, CA 92649-4550
Phone number: 714-293-0628
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