Provider Demographics
NPI:1275587347
Name:FORGIONE, JULIANNE GRACE (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:GRACE
Last Name:FORGIONE
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 FAIRES AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-4003
Mailing Address - Country:US
Mailing Address - Phone:704-516-5986
Mailing Address - Fax:
Practice Address - Street 1:109 FAIRES AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-4003
Practice Address - Country:US
Practice Address - Phone:704-516-5986
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health