Provider Demographics
NPI:1548561368
Name:GALVAN GARZA, JULISSA (LMFT)
Entity Type:Individual
Prefix:
First Name:JULISSA
Middle Name:
Last Name:GALVAN GARZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 W FLAGSTAFF AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8155
Mailing Address - Country:US
Mailing Address - Phone:559-936-5961
Mailing Address - Fax:
Practice Address - Street 1:1830 S CENTRAL ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4418
Practice Address - Country:US
Practice Address - Phone:559-936-5961
Practice Address - Fax:559-730-2991
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126298106H00000X
CA106820106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist