Provider Demographics
NPI:1538887187
Name:FRITZ, JULIA (MFT INTERN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:FRITZ
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 MOUNT ROSE ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3355
Mailing Address - Country:US
Mailing Address - Phone:775-448-6828
Mailing Address - Fax:775-322-2964
Practice Address - Street 1:245 MOUNT ROSE ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3355
Practice Address - Country:US
Practice Address - Phone:775-448-6828
Practice Address - Fax:775-322-2964
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4137106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist