Healthcare Provider Details

I. General information

NPI: 1356808638
Provider Name (Legal Business Name): JULIANA ISABELLE JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2019
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 W CLINTON AVE # RSYDP
FRESNO CA
93705-4206
US

IV. Provider business mailing address

96 W NATIONAL AVE
CLOVIS CA
93612-5039
US

V. Phone/Fax

Practice location:
  • Phone: 559-264-7521
  • Fax:
Mailing address:
  • Phone: 559-283-4262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: