Individual
JULIE HEINBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
19 E PIKE ST, COVINGTON, KY 41011-2442
(859) 491-1348
Mailing address
19 E PIKE ST, COVINGTON, KY 41011-2442
(859) 491-1348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0023
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
10/17/2006
Last updated
07/08/2007
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