Provider Demographics
NPI:1003948308
Name:CRISTIANO, JULIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:CRISTIANO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855-F ALAMO ST
Mailing Address - Street 2:SUITE 2032
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2109
Mailing Address - Country:US
Mailing Address - Phone:805-582-7505
Mailing Address - Fax:805-582-7514
Practice Address - Street 1:3855-F ALAMO ST
Practice Address - Street 2:SUITE 2032
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2109
Practice Address - Country:US
Practice Address - Phone:805-582-7505
Practice Address - Fax:805-582-7514
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical