| Doctor Name: | JULIE NILSEN |
| NPI Number: | 1467863415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 178009597 |
| Business Practice Address: | 3436 N Kennicott Ave Arlington Hts, IL - 600047814 |
| Business Phone Number: | 8479527460 |
| Business Fax Number: | 8472221754 |
| Mailing Address: | 3436 N Kennicott Ave, ARLINGTON HTS |
| State: | IL |
| Postal Code: | 600047814 |
| Phone Number: | 8479527460 |
| Fax Number: | 8472221754 |
| NPI Enumeration Date: | 05/13/2014 |
| NPI Last Update Date: | 05/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 178009597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |