Provider Demographics
NPI:1225266612
Name:COHEN, JULIE NICOLE RAY (LMFT, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:NICOLE RAY
Last Name:COHEN
Suffix:
Gender:F
Credentials:LMFT, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59-327 PUPUKEA RD
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-9418
Mailing Address - Country:US
Mailing Address - Phone:808-349-1022
Mailing Address - Fax:
Practice Address - Street 1:59-327 PUPUKEA RD
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-9418
Practice Address - Country:US
Practice Address - Phone:808-349-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1291-06101YA0400X
HI210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)