Doctor Name: | JULIA (JUDY) ELIZABETH THORNBURG |
NPI Number: | 1093983785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | T0404200951 |
Business Practice Address: | 22840 Antelope Blvd Red Bluff, CA - 960808874 |
Business Phone Number: | 5305277893 |
Business Fax Number: | 5305270766 |
Mailing Address: | Po Box 400, RED BLUFF |
State: | CA |
Postal Code: | 960800400 |
Phone Number: | 5305277893 |
Fax Number: | 5305270766 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | T0404200951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |