Provider Demographics
NPI:1154643369
Name:ALLEN, JULIE L (LCPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 PORTLAND RD STE 46
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6650
Mailing Address - Country:US
Mailing Address - Phone:207-468-0298
Mailing Address - Fax:207-604-5000
Practice Address - Street 1:62 PORTLAND RD STE 46
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6650
Practice Address - Country:US
Practice Address - Phone:207-468-0298
Practice Address - Fax:207-604-5000
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3484101YP2500X
MECC4037101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional