Provider Demographics
NPI:1497861660
Name:LEUNG, JULIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:LEUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:
Other - Last Name:LEUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:601 UNIVERSITY AVE STE 145
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6738
Mailing Address - Country:US
Mailing Address - Phone:916-416-5648
Mailing Address - Fax:
Practice Address - Street 1:601 UNIVERSITY AVE STE 145
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6738
Practice Address - Country:US
Practice Address - Phone:916-416-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS181951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical