Provider Demographics
NPI:1568688679
Name:GULLA, JOSEPH A (MSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:A
Last Name:GULLA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 E ALISAL ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3404
Mailing Address - Country:US
Mailing Address - Phone:831-424-7776
Mailing Address - Fax:831-424-7776
Practice Address - Street 1:32 E ALISAL ST
Practice Address - Street 2:SUITE 212
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3404
Practice Address - Country:US
Practice Address - Phone:831-424-7776
Practice Address - Fax:831-424-7776
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CAMFT4684106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist