Doctor Name: | MRS. JULIE ILHARDT |
NPI Number: | 1235553306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC, CADC |
License Number: | KY0089 |
Business Practice Address: | 901 Us Highway 68 Ste 900 Maysville, KY - 410569188 |
Business Phone Number: | 6065847055 |
Business Fax Number: | 8665334929 |
Mailing Address: | 901 Us Highway 68, Ste 900 MAYSVILLE |
State: | KY |
Postal Code: | 410569188 |
Phone Number: | 6065847055 |
Fax Number: | 8665334929 |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | KY0089 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |