Provider Demographics
NPI:1821511148
Name:MERRIS-COOTS, JULIA (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MERRIS-COOTS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0643
Mailing Address - Country:US
Mailing Address - Phone:916-501-4418
Mailing Address - Fax:
Practice Address - Street 1:2140 PROFESSIONAL DR STE 210
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3776
Practice Address - Country:US
Practice Address - Phone:916-782-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31756106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist