Individual
JULIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
(412) 506-5256
Mailing address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
(412) 506-5256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1600323
OH
101YM0800X
Mental Health Counselor
Primary
E.1901439
OH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/17/2017
Last updated
12/21/2020
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