Healthcare Provider Details

I. General information

NPI: 1699350538
Provider Name (Legal Business Name): MRS. JULIE WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 GEER RD
TURLOCK CA
95380-3311
US

IV. Provider business mailing address

875 GEER RD
TURLOCK CA
95380-3311
US

V. Phone/Fax

Practice location:
  • Phone: 209-633-3057
  • Fax:
Mailing address:
  • Phone: 209-633-3057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number136710
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: