Provider Demographics
NPI:1205199155
Name:KARNES, JULIANE ELIZABETH JACOBS (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIANE
Middle Name:ELIZABETH JACOBS
Last Name:KARNES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 N 44TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-6060
Mailing Address - Country:US
Mailing Address - Phone:602-218-6901
Mailing Address - Fax:602-218-6901
Practice Address - Street 1:3610 N 44TH ST STE 120
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-6060
Practice Address - Country:US
Practice Address - Phone:602-218-6901
Practice Address - Fax:602-218-6901
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-13222104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker