Provider Demographics
NPI:1386999183
Name:PALOMARES, JULIA ISABEL (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ISABEL
Last Name:PALOMARES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ISABEL
Other - Last Name:MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1553
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:595 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-2802
Practice Address - Country:US
Practice Address - Phone:562-233-5771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist