Healthcare Provider Details

I. General information

NPI: 1548561368
Provider Name (Legal Business Name): JULISSA GALVAN GARZA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E HERMOSA ST
LINDSAY CA
93247-2124
US

IV. Provider business mailing address

2031 W FLAGSTAFF AVE
VISALIA CA
93291-8155
US

V. Phone/Fax

Practice location:
  • Phone: 559-562-8292
  • Fax:
Mailing address:
  • Phone: 559-936-5961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number126298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: