Provider Demographics
NPI:1801330451
Name:ROBLES-TEJADA, JULIE ISABEL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ISABEL
Last Name:ROBLES-TEJADA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:ISABEL
Other - Last Name:TEJADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT
Mailing Address - Street 1:19401 S VERMONT AVE # L-102
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1029
Mailing Address - Country:US
Mailing Address - Phone:310-323-6887
Mailing Address - Fax:
Practice Address - Street 1:19401 S VERMONT AVE # L-102
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1029
Practice Address - Country:US
Practice Address - Phone:310-323-6887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF96031106H00000X
CA135527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist