Healthcare Provider Details

I. General information

NPI: 1730039983
Provider Name (Legal Business Name): JULIE HOUGHTON
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 CARLETON ST
BERKELEY CA
94704-3225
US

IV. Provider business mailing address

336 ARLINGTON ST
SAN FRANCISCO CA
94131-3014
US

V. Phone/Fax

Practice location:
  • Phone: 510-384-7444
  • Fax:
Mailing address:
  • Phone: 510-384-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: