Provider Demographics
NPI:1134326846
Name:PEREZ, JULIE (LCSW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 H ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3450
Mailing Address - Country:US
Mailing Address - Phone:907-227-5631
Mailing Address - Fax:907-258-6613
Practice Address - Street 1:880 H ST STE 202
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3450
Practice Address - Country:US
Practice Address - Phone:907-227-5631
Practice Address - Fax:907-258-6613
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical