Provider Demographics
NPI:1477670065
Name:CARDOZA, JULIE C (LMFT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:C
Last Name:CARDOZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:C
Other - Last Name:DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7726 N 1ST ST
Mailing Address - Street 2:PMB 371
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0989
Mailing Address - Country:US
Mailing Address - Phone:559-360-8630
Mailing Address - Fax:
Practice Address - Street 1:7726 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0989
Practice Address - Country:US
Practice Address - Phone:559-360-8630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 41066106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist