Provider Demographics
NPI:1033432869
Name:LIPSITZ, JULIE MICHELLE (LMFT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MICHELLE
Last Name:LIPSITZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14011 RICES CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:N SAN JUAN
Mailing Address - State:CA
Mailing Address - Zip Code:95960-9542
Mailing Address - Country:US
Mailing Address - Phone:510-379-6185
Mailing Address - Fax:
Practice Address - Street 1:200 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2507
Practice Address - Country:US
Practice Address - Phone:510-379-6185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80103106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist