Provider Demographics
NPI:1962694075
Name:WEINSTEIN, JULIAN M (LMFT)
Entity type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:M
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 KEY ROUTE BLVD # 6
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2121
Mailing Address - Country:US
Mailing Address - Phone:510-869-4965
Mailing Address - Fax:
Practice Address - Street 1:907 KEY ROUTE BLVD # 6
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-2121
Practice Address - Country:US
Practice Address - Phone:510-869-4965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist