Healthcare Provider Details

I. General information

NPI: 1427571504
Provider Name (Legal Business Name): JULIAN J. VARELA LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 QUINTANA RD STE 222
MORRO BAY CA
93442-1939
US

IV. Provider business mailing address

630 QUINTANA RD STE 222
MORRO BAY CA
93442-1939
US

V. Phone/Fax

Practice location:
  • Phone: 805-704-4007
  • Fax:
Mailing address:
  • Phone: 805-704-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number116444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: