Provider Demographics
NPI:1851493142
Name:CIMA, JULIE LYNN (MFT-LICENSED)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:LYNN
Last Name:CIMA
Suffix:
Gender:F
Credentials:MFT-LICENSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PETRILLI CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-3284
Mailing Address - Country:US
Mailing Address - Phone:916-715-5948
Mailing Address - Fax:
Practice Address - Street 1:3101 I ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4421
Practice Address - Country:US
Practice Address - Phone:916-715-5948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2014-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT-INTERN 51033106H00000X
CA50858106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA50858OtherMFT LICENSED NUMBER
CA51033OtherMFT-INTERN NUMBER
CA7366OtherSACRAMENTO COUNTY BILLING