Provider Demographics
NPI:1326200445
Name:HACKETT, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HACKETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 ENGLE RD STE 420
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-7900
Mailing Address - Country:US
Mailing Address - Phone:916-486-2020
Mailing Address - Fax:916-486-2030
Practice Address - Street 1:5325 ENGLE RD STE 420
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-7900
Practice Address - Country:US
Practice Address - Phone:916-486-2020
Practice Address - Fax:916-486-2030
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor