Individual
JULIE TAILLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10TH STREET & DAHILIA, ANTONITO, CO 81120
(719) 376-5426
Mailing address
10TH STREET & DAHILIA, ANTONITO, CO 81120
(719) 376-5426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
17201
CO
101YP2500X
Professional Counselor
Primary
18878
CO
Other
Enumeration date
01/28/2022
Last updated
11/30/2022
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