Provider Demographics
NPI:1073286290
Name:PRESTER, JULIE A (CDCA, QBHS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:PRESTER
Suffix:
Gender:F
Credentials:CDCA, QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3197 E DUBLIN GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4035
Mailing Address - Country:US
Mailing Address - Phone:614-888-2233
Mailing Address - Fax:
Practice Address - Street 1:3197 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4035
Practice Address - Country:US
Practice Address - Phone:614-888-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
OHCDCA.180392101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)