| Doctor Name: | JULIO VELAZQUEZ |
| NPI Number: | 1245410190 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 34001095A |
| Business Practice Address: | 100 W Chicago Ave East Chicago, IN - 463123260 |
| Business Phone Number: | 2193926061 |
| Business Fax Number: | |
| Mailing Address: | 5050 Park Ave, PORTAGE |
| State: | IN |
| Postal Code: | 463681118 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2007 |
| NPI Last Update Date: | 12/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34001095A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |