Provider Demographics
NPI:1518007350
Name:WEBSTER, JULIE BUSH (MS LMHC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:BUSH
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:920 ALDER AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390
Mailing Address - Country:US
Mailing Address - Phone:253-891-0200
Mailing Address - Fax:253-891-0300
Practice Address - Street 1:920 ALDER AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390
Practice Address - Country:US
Practice Address - Phone:253-891-0200
Practice Address - Fax:253-891-0300
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006239106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist