Provider Demographics
NPI:1225167729
Name:SJULLIE, HELENA E (LMFT)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:E
Last Name:SJULLIE
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 1:16542 WILLOW ST APT 15
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3187
Mailing Address - Country:US
Mailing Address - Phone:760-995-0181
Mailing Address - Fax:
Practice Address - Street 1:16542 WILLOW ST APT 15
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3187
Practice Address - Country:US
Practice Address - Phone:760-995-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist