Provider Demographics
NPI:1023712205
Name:RAPPAPORT, JULIE (MFT)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:RAPPAPORT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2115
Mailing Address - Country:US
Mailing Address - Phone:510-273-2417
Mailing Address - Fax:
Practice Address - Street 1:1713 OREGON ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2115
Practice Address - Country:US
Practice Address - Phone:510-273-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health