MEDICARE: JULIANNE JOYCE CUARESMA FELIX BUILES LCSW

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	104100000X	Social Worker
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1659605632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNE JOYCE CUARESMA FELIX BUILES LCSW

Provider Business Mailing Address
First Line	:	6201 SAN IGNACIO AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1325
Country	:	US
Telephone Number	:	408-376-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 SAN IGNACIO AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1325
Country	:	US
Telephone Number	:	408-376-2000
Fax Number	:

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

Provider Enumeration Date	:	09/24/2009
Last Update Date	:	10/24/2023

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