Individual
MS. JULIANN ADELE SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C11420
OR
101YM0800X
Mental Health Counselor
—
—
225700000X
Massage Therapist
14582
OR
225700000X
Massage Therapist
Primary
15482
OR
Other
Enumeration date
11/11/2015
Last updated
05/04/2026
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