Provider Demographics
NPI:1356743819
Name:CHARUHAS, JULIA PANAYOTA (MA, LMFT)
Entity type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:PANAYOTA
Last Name:CHARUHAS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 N PEARL ST STE C2
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2490
Mailing Address - Country:US
Mailing Address - Phone:253-383-0101
Mailing Address - Fax:253-383-0149
Practice Address - Street 1:1919 N PEARL ST STE C2
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2490
Practice Address - Country:US
Practice Address - Phone:253-383-0101
Practice Address - Fax:253-383-0149
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61252847106H00000X
WACG60490062101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist