Provider Demographics
NPI:1619255296
Name:HOWARD-BALMER, JULIE L (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:L
Last Name:HOWARD-BALMER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:HOWARD-BALMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1300 EASTMAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-8031
Mailing Address - Country:US
Mailing Address - Phone:805-873-2106
Mailing Address - Fax:
Practice Address - Street 1:1300 EASTMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-8031
Practice Address - Country:US
Practice Address - Phone:805-873-2106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114354106H00000X
CA101YA0400X
CA10984292101YS0200X
ORT1966106H00000X
ID8381106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool