Provider Demographics
NPI:1215187307
Name:AGAJANIAN, JULI ANN (LMFT)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:ANN
Last Name:AGAJANIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 LOS ALAMITOS BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3602
Mailing Address - Country:US
Mailing Address - Phone:866-433-0763
Mailing Address - Fax:
Practice Address - Street 1:11110 LOS ALAMITOS BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3602
Practice Address - Country:US
Practice Address - Phone:866-433-0763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44293106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist