Doctor Name: | MS. JULIE RENEE' ROBERTSON |
NPI Number: | 1356555601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED, CADC, CGAC |
License Number: | 0018 |
Business Practice Address: | 5111 S Ridgewood Ave Suite 103 Port Orange, FL - 321275169 |
Business Phone Number: | 3863108766 |
Business Fax Number: | 3863108770 |
Mailing Address: | 2006 Ocean Shore Blvd, 18 ORMOND BEACH |
State: | FL |
Postal Code: | 321763154 |
Phone Number: | 3867853065 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0018 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |