Individual
MS. JULIE S SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC LCPC
Contact information
Practice address
118 MAPLEWOOD AVE, PORTSMOUTH, NH 03801-3787
(603) 433-5525
Mailing address
118 MAPLEWOOD AVE, PORTSMOUTH, NH 03801-3787
(603) 433-5525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
625
ME
101Y00000X
Counselor
Primary
85
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047099
BLUE CROSS BLUE SHIELD
ME
01
—
1404519Y0NH01
BLUE CROSS BLUE SHIELD
NH
05
—
30008557
—
NH
01
—
396079
MAGELLAN BEHAV HEALTH
—
Enumeration date
07/21/2006
Last updated
07/08/2007
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