Individual
JULIE D CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC, NCC
Contact information
Practice address
1542 FREMAUX AVE, SLIDELL, LA 70458-8077
(985) 773-3205
Mailing address
1542 FREMAUX AVE, SLIDELL, LA 70458-8077
(985) 773-3205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC8435
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
08/04/2021
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