Individual ProviderIan Joseph HollandMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3164 Condo Ct, Santa Rosa, CA 95403-2557(805) 770-7643PECOS EnrollmentBased on the most recent information from CMS, provider Ian Joseph Holland does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1356542153Provider TypeIndividualFull NameHolland, Ian JosephTitleMr.CredentialM.A., M.F.T.GenderMaleSole ProprietorYesEnumeration Date5/30/2007Last Updated3/21/2016Contact InformationPractice LocationPractice Address3164 Condo Ct, Santa Rosa, CA 95403-2557Phone(805) 770-7643FaxUnlisted FaxMailing LocationMailing AddressPO Box 2665, Santa Barbara, CA 93120-2665Phone(805) 770-7643FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLMFT80362CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF 40930California