Healthcare Provider Details

I. General information

NPI: 1851132930
Provider Name (Legal Business Name): JULIA KRISTINE TAFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 S HILL ST
LOS ANGELES CA
90015-3012
US

IV. Provider business mailing address

1355 S HILL ST
LOS ANGELES CA
90015-3012
US

V. Phone/Fax

Practice location:
  • Phone: 213-389-5820
  • Fax:
Mailing address:
  • Phone: 213-389-5820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1588967236
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: