Basic Information
Provider Information
NPI: 1750698395
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JULIAN-ARAX
FirstName: KAREN
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: MS, COUNSELING MFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4785 N 1ST ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937260500
CountryCode: US
TelephoneNumber: 5594484620
FaxNumber:  
Practice Location
Address1: 4785 N 1ST ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937260500
CountryCode: US
TelephoneNumber: 5594484620
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/02/2010
LastUpdateDate: 04/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X86898CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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