Provider Demographics
NPI:1659605632
Name:FELIX BUILES, JULIANNE JOYCE CUARESMA (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIANNE JOYCE
Middle Name:CUARESMA
Last Name:FELIX BUILES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 SAN IGNACIO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1325
Mailing Address - Country:US
Mailing Address - Phone:408-376-2000
Mailing Address - Fax:
Practice Address - Street 1:6201 SAN IGNACIO AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1325
Practice Address - Country:US
Practice Address - Phone:408-376-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0613Medicaid