Provider Demographics
NPI:1417912064
Name:GLAMAN, JULEY A (MS LPC)
Entity Type:Individual
Prefix:MS
First Name:JULEY
Middle Name:A
Last Name:GLAMAN
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709-2 JOHNS DRIVE
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINTE
Mailing Address - State:WI
Mailing Address - Zip Code:54481
Mailing Address - Country:US
Mailing Address - Phone:715-310-9022
Mailing Address - Fax:
Practice Address - Street 1:1004 FIRST STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481
Practice Address - Country:US
Practice Address - Phone:715-342-0290
Practice Address - Fax:715-342-0291
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3640125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40937400Medicaid