Provider Demographics
NPI:1609905231
Name:CONTRERAS, JULIA A (REHAB SPEC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:REHAB SPEC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:VELAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 781
Mailing Address - Street 2:
Mailing Address - City:POINT ARENA
Mailing Address - State:CA
Mailing Address - Zip Code:95468-0781
Mailing Address - Country:US
Mailing Address - Phone:707-357-0484
Mailing Address - Fax:
Practice Address - Street 1:99 S HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-3509
Practice Address - Country:US
Practice Address - Phone:707-459-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor