MEDICARE: JULIA GORKA AMFT

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
1	101YM0800X	Mental Health Counselor	152076	CA

General Provider Information

NPI Number	:	1568276467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA GORKA AMFT

Provider Business Mailing Address
First Line	:	3701 SACRAMENTO ST # 148
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2275 MARKET ST STE E
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1652
Country	:	US
Telephone Number	:	415-659-8282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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