Provider Demographics
NPI:1174255178
Name:HOLLINGSHEAD, JULIA RUSHING (AMFT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RUSHING
Last Name:HOLLINGSHEAD
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 UNIVERSITY AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6756
Mailing Address - Country:US
Mailing Address - Phone:916-573-9489
Mailing Address - Fax:
Practice Address - Street 1:701 UNIVERSITY AVE STE 225
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6756
Practice Address - Country:US
Practice Address - Phone:916-573-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122313106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist