Healthcare Provider Details

I. General information

NPI: 1164649166
Provider Name (Legal Business Name): JULIA H GARCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 W FIGARDEN DR
FRESNO CA
93722-6051
US

IV. Provider business mailing address

490 E CALIMYRNA AVE APT 104
FRESNO CA
93710-5226
US

V. Phone/Fax

Practice location:
  • Phone: 559-221-1680
  • Fax:
Mailing address:
  • Phone: 559-960-5381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 22094
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: