Provider Demographics
NPI:1447527411
Name:KITTS, JULIA CUATRECASAS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:CUATRECASAS
Last Name:KITTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12370 PATHOS LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-4128
Mailing Address - Country:US
Mailing Address - Phone:858-780-9250
Mailing Address - Fax:
Practice Address - Street 1:12370 PATHOS LN
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-4128
Practice Address - Country:US
Practice Address - Phone:858-780-9250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS184881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical