Provider Demographics
NPI:1871286294
Name:SANKER, JULIAN EMANUEL (AMFT, APCC)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:EMANUEL
Last Name:SANKER
Suffix:
Gender:M
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8053
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92375-1253
Mailing Address - Country:US
Mailing Address - Phone:909-747-5203
Mailing Address - Fax:
Practice Address - Street 1:400 RAMONA AVE STE 205
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1442
Practice Address - Country:US
Practice Address - Phone:888-883-7639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132729106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist