Provider Demographics
NPI:1396763454
Name:LEVIN, JULIE A (MA, MFT, CHT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MA, MFT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 TAYLOR BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2286
Mailing Address - Country:US
Mailing Address - Phone:925-518-4072
Mailing Address - Fax:925-229-8056
Practice Address - Street 1:395 TAYLOR BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2286
Practice Address - Country:US
Practice Address - Phone:925-518-4072
Practice Address - Fax:925-229-8056
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40686106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist