| Doctor Name: | JULIE LYNN WEBER |
| NPI Number: | 1619382488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180.009257 |
| Business Practice Address: | 1161 Fortune Blvd Suite 400 Shiloh, IL - 622697385 |
| Business Phone Number: | 6184012496 |
| Business Fax Number: | |
| Mailing Address: | 1161 Fortune Boulevard, Suite 400 SHILOH |
| State: | IL |
| Postal Code: | 62269 |
| Phone Number: | 6184012496 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2014 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.009257 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |