| Doctor Name: | JULIE MIKELBERG |
| NPI Number: | 1184747909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 37PC00012500 |
| Business Practice Address: | 558 Anderson Ave Cliffside Park, NJ - 070101704 |
| Business Phone Number: | 2019432726 |
| Business Fax Number: | 2019449619 |
| Mailing Address: | 415 Golf Course Dr, LEONIA |
| State: | NJ |
| Postal Code: | 076051415 |
| Phone Number: | 2014466068 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00012500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |