Provider Demographics
NPI:1386141711
Name:JULIAN, JONATHAN (LMFT)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:JULIAN
Suffix:
Gender:X
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 HARPER ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2457
Mailing Address - Country:US
Mailing Address - Phone:510-239-3589
Mailing Address - Fax:
Practice Address - Street 1:3128 HARPER ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2457
Practice Address - Country:US
Practice Address - Phone:510-239-3589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA128390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA128390OtherBBS