Doctor Name: | MRS. JULIE ATKINSON |
NPI Number: | 1053700096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2015000332 |
Business Practice Address: | 408 Jefferson St Saint Charles, MO - 633012824 |
Business Phone Number: | 3145604939 |
Business Fax Number: | |
Mailing Address: | 408 Jefferson St, SAINT CHARLES |
State: | MO |
Postal Code: | 633012824 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2015000332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |