Individual
TRACEY AUDETTE JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
508 W PINE ST, FARMINGTON, MO 63640-1426
(573) 664-1100
Mailing address
PO BOX 146, WATERLOO, IL 62298-0146
(618) 939-4444
(618) 939-4181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
12/29/2025
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