Provider Demographics
NPI:1164086328
Name:BESEL, JULIE K
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:K
Last Name:BESEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 MORNINGSIDE CT
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-7940
Mailing Address - Country:US
Mailing Address - Phone:509-941-8348
Mailing Address - Fax:
Practice Address - Street 1:6402 MORNINGSIDE CT
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-7940
Practice Address - Country:US
Practice Address - Phone:509-941-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW609246611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical