Provider Demographics
NPI:1699035139
Name:MENDOZA, JULIA CAROLINA (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:CAROLINA
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 DELEON CT
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-1727
Mailing Address - Country:US
Mailing Address - Phone:951-600-6350
Mailing Address - Fax:
Practice Address - Street 1:804 DELEON CT
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-1727
Practice Address - Country:US
Practice Address - Phone:951-692-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT97624106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist