Provider Demographics
NPI:1497305718
Name:DAVISON, JULIANNE (LPC)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:DAVISON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:SIRACUSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 PATRICK HENRY DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2721
Mailing Address - Country:US
Mailing Address - Phone:609-802-6366
Mailing Address - Fax:
Practice Address - Street 1:1657 MERRIMAC TRL
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5624
Practice Address - Country:US
Practice Address - Phone:757-220-3200
Practice Address - Fax:757-229-7173
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional