Provider Demographics
NPI:1295903581
Name:HILL-WELD, JUDITH L (MS, MFT)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:L
Last Name:HILL-WELD
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1891
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-1891
Mailing Address - Country:US
Mailing Address - Phone:530-265-9450
Mailing Address - Fax:530-265-9460
Practice Address - Street 1:101 PROVIDENCE MINE RD
Practice Address - Street 2:SUITE 106B
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2939
Practice Address - Country:US
Practice Address - Phone:530-265-9450
Practice Address - Fax:530-265-9460
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38526106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist