Individual
JULIE A. IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-C
Contact information
Practice address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 532-3873
Mailing address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 532-3873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103850000
—
ME
Enumeration date
06/22/2010
Last updated
06/22/2010
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