Provider Demographics
NPI:1891996500
Name:MAKI, JULIANNE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:
Last Name:MAKI
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 1:1800 E. LAMBERT RD.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4398
Mailing Address - Country:US
Mailing Address - Phone:714-780-9244
Mailing Address - Fax:
Practice Address - Street 1:1800 E. LAMBERT RD.
Practice Address - Street 2:SUITE 205
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4398
Practice Address - Country:US
Practice Address - Phone:714-780-9244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24535106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist