| Doctor Name: | JULIE BURNHAM |
| NPI Number: | 1336512961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CAC5094 |
| Business Practice Address: | 52 Water St Suite 2 Hallowell, ME - 043471437 |
| Business Phone Number: | 2074303777 |
| Business Fax Number: | |
| Mailing Address: | 52 Water St, Suite 2 HALLOWELL |
| State: | ME |
| Postal Code: | 043471437 |
| Phone Number: | 2074303777 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2015 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAC5094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |