Provider Demographics
NPI:1497047120
Name:REDWOOD, JULIAN OLIVER (MFT)
Entity Type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:OLIVER
Last Name:REDWOOD
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2745
Mailing Address - Country:US
Mailing Address - Phone:415-806-5585
Mailing Address - Fax:415-440-6979
Practice Address - Street 1:1944 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2745
Practice Address - Country:US
Practice Address - Phone:415-806-5585
Practice Address - Fax:415-440-6979
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 47939106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist