Provider Demographics
NPI:1689161440
Name:AFIGHOM, JULIE (LMFT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:AFIGHOM
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:ABBOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:5715 OSO AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:323-381-8702
Mailing Address - Fax:
Practice Address - Street 1:5715 OSO AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:323-381-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119297106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist