Provider Demographics
NPI:1184040230
Name:WITHROW, BILLIE JO (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:JO
Last Name:WITHROW
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 1:3839 SILVERA RANCH DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7260
Mailing Address - Country:US
Mailing Address - Phone:925-268-2081
Mailing Address - Fax:
Practice Address - Street 1:3839 SILVERA RANCH DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-7260
Practice Address - Country:US
Practice Address - Phone:925-268-2081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT29930106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist