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NPI Code Detail

MEDICARE: JULIANNA GREER LPCC / LMFT

MEDICARE:   JULIANNA  GREER  LPCC / LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor0139401NM
3101YP2500XProfessional Counselor0139401NM
4106H00000XMarriage & Family Therapist49307CA

General Provider Information

NPI Number : 1083724793
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNA GREER LPCC / LMFT
Provider Business Mailing Address
First Line : 891 MOUNTAIN RANCH RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9713
Country : US
Telephone Number : 209-754-6032
Fax Number : 209-754-6471
Provider Business Practice Location Address
First Line : 891 MOUNTAIN RANCH RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9713
Country : US
Telephone Number : 209-754-6032
Fax Number : 209-754-6471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/19/2015

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Directions to “ JULIANNA GREER LPCC / LMFT” Practice Location

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