Provider Demographics
NPI:1912185646
Name:VANDERSCHAAF, JULIA B (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:B
Last Name:VANDERSCHAAF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3119 CLERMONT WAY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-5344
Mailing Address - Country:US
Mailing Address - Phone:916-799-0712
Mailing Address - Fax:530-275-2854
Practice Address - Street 1:550 MAIN ST STE B1B
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5634
Practice Address - Country:US
Practice Address - Phone:916-799-0712
Practice Address - Fax:530-275-2854
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA49195101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health