Healthcare Provider Details

I. General information

NPI: 1558746966
Provider Name (Legal Business Name): JULIE BJELLAND LMFT, 88019
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 SECOND ST SUITE 14
LIVERMORE CA
94550-4554
US

IV. Provider business mailing address

2222 SECOND ST SUITE 14
LIVERMORE CA
94550-4554
US

V. Phone/Fax

Practice location:
  • Phone: 925-264-9638
  • Fax:
Mailing address:
  • Phone: 925-264-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number88019
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: