Provider Demographics
NPI:1033365093
Name:PERRY, JULIA ELIZABETH (MA LMHC CDP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ELIZABETH
Last Name:PERRY
Suffix:
Gender:F
Credentials:MA LMHC CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-0219
Mailing Address - Country:US
Mailing Address - Phone:206-678-3118
Mailing Address - Fax:425-788-9921
Practice Address - Street 1:15321 MAIN ST NE
Practice Address - Street 2:STE 322
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8574
Practice Address - Country:US
Practice Address - Phone:206-678-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 00006444101YA0400X
WALH60137396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)