Provider Demographics
NPI:1043683816
Name:REIMANN, JULIE (M COUN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:REIMANN
Suffix:
Gender:F
Credentials:M COUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 N GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5516
Mailing Address - Country:US
Mailing Address - Phone:360-220-2575
Mailing Address - Fax:
Practice Address - Street 1:1002 N GARDEN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5516
Practice Address - Country:US
Practice Address - Phone:360-220-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60071764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health