Provider Demographics
NPI:1932522851
Name:GARCIA, JULIE (LMFT 92355)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMFT 92355
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:87 ALPINE CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5635
Mailing Address - Country:US
Mailing Address - Phone:209-679-1715
Mailing Address - Fax:
Practice Address - Street 1:60 EAGLE ROCK WAY STE B
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-4943
Practice Address - Country:US
Practice Address - Phone:925-482-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist