Provider Demographics
NPI:1295951069
Name:JOINER, WILLIAM JULIUS JR (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JULIUS
Last Name:JOINER
Suffix:JR
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 COLISEUM ST
Mailing Address - Street 2:APARTMENT 9
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-5328
Mailing Address - Country:US
Mailing Address - Phone:323-296-5182
Mailing Address - Fax:
Practice Address - Street 1:5050 COLISEUM ST
Practice Address - Street 2:APARTMENT 9
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-5328
Practice Address - Country:US
Practice Address - Phone:323-296-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
CA45590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGP04724OtherLOS ANGELES DMH BILLING