Provider Demographics
NPI:1417352055
Name:YAROCH, JULIE (LLPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:YAROCH
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51629 HALE LANE
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD TWP.
Mailing Address - State:MI
Mailing Address - Zip Code:48051
Mailing Address - Country:US
Mailing Address - Phone:586-263-8700
Mailing Address - Fax:
Practice Address - Street 1:51629 HALE LANE
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD TWP.
Practice Address - State:MI
Practice Address - Zip Code:48051
Practice Address - Country:US
Practice Address - Phone:586-263-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014518101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional