Healthcare Provider Details

I. General information

NPI: 1821235110
Provider Name (Legal Business Name): JULIE TERESA ALVARADO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE T DIAZ

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 03/16/2025
Certification Date: 03/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W 5TH ST STE 590
SANTA ANA CA
92701-4599
US

IV. Provider business mailing address

405 W 5TH ST STE 590
SANTA ANA CA
92701-4599
US

V. Phone/Fax

Practice location:
  • Phone: 714-834-2335
  • Fax: 714-543-4398
Mailing address:
  • Phone: 714-834-2335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153385
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: