Provider Demographics
NPI:1447869383
Name:MOLINA, JULIA ANTOINETTE (MSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANTOINETTE
Last Name:MOLINA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANTOINETTE
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:224 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2639
Mailing Address - Country:US
Mailing Address - Phone:626-271-4758
Mailing Address - Fax:
Practice Address - Street 1:224 W 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2639
Practice Address - Country:US
Practice Address - Phone:626-271-4758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1023011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical