Provider Demographics
NPI:1083868103
Name:RANKIN, JULIE SPENCER (MA, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SPENCER
Last Name:RANKIN
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 FALLIS RUN RD
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-9051
Mailing Address - Country:US
Mailing Address - Phone:859-734-4100
Mailing Address - Fax:859-734-4100
Practice Address - Street 1:567 FALLIS RUN RD
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-9051
Practice Address - Country:US
Practice Address - Phone:859-734-4100
Practice Address - Fax:859-734-4100
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional