Provider Demographics
NPI:1265501639
Name:TURUNEN, JULIE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARIE
Last Name:TURUNEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E MAIN ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4463
Mailing Address - Country:US
Mailing Address - Phone:406-543-1541
Mailing Address - Fax:406-543-1592
Practice Address - Street 1:127 E MAIN ST
Practice Address - Street 2:SUITE 221
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4463
Practice Address - Country:US
Practice Address - Phone:406-543-1541
Practice Address - Fax:406-543-1592
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0502911Medicaid