Provider Demographics
NPI:1326085911
Name:WOGULIS, JOANNA C (MA MFT)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:C
Last Name:WOGULIS
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:MS
Other - First Name:JOANNA
Other - Middle Name:C
Other - Last Name:WOGULIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA MF T
Mailing Address - Street 1:431 2ND ST
Mailing Address - Street 2:#1
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2797
Mailing Address - Country:US
Mailing Address - Phone:805-697-2195
Mailing Address - Fax:805-693-1146
Practice Address - Street 1:431 2ND ST
Practice Address - Street 2:#1
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2797
Practice Address - Country:US
Practice Address - Phone:805-697-2195
Practice Address - Fax:805-693-1146
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT23735101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health