Provider Demographics
NPI:1255465340
Name:ALLEN, JULIENNE CAMILLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JULIENNE
Middle Name:CAMILLE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10502 SATELLITE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-8479
Mailing Address - Country:US
Mailing Address - Phone:407-850-9141
Mailing Address - Fax:407-850-9687
Practice Address - Street 1:10502 SATELLITE BLVD STE D
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8479
Practice Address - Country:US
Practice Address - Phone:407-850-9141
Practice Address - Fax:407-850-9687
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist