Provider Information for 1386324168
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HOLLY MICHELLE GILTON LMFT
Other Names:Former Name:HOLLY MICHELLE HOLMESSex: Female
NPI: 1386324168
Last Updated: 2025-03-21
Certification Date: 2025-03-19
Certification Date: 2025-03-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386324168 | ||||||||
| Enumeration Date | 2023-07-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 800 COFFEE RD MODESTO, CA 95355-4233 United States Phone: 209-872-0600 | Fax: | ||||||||
| Primary Practice Address | 800 COFFEE RD MODESTO, CA 95355-4233 United States Phone: 209-554-6808 | Fax: | ||||||||
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