Provider Demographics
NPI:1861692535
Name:FREELING, HOLLY (MFT, ATR)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:FREELING
Suffix:
Gender:F
Credentials:MFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 HOPE ST # 204
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-2610
Mailing Address - Country:US
Mailing Address - Phone:626-376-3098
Mailing Address - Fax:
Practice Address - Street 1:1515 HOPE ST # 204
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-2610
Practice Address - Country:US
Practice Address - Phone:626-376-3098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist