Provider Demographics
NPI:1518300987
Name:HOLDEN, JULIE ELISE (LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELISE
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 KLAMATH FALLS LN.
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517
Mailing Address - Country:US
Mailing Address - Phone:907-980-2568
Mailing Address - Fax:907-243-5400
Practice Address - Street 1:405 E FIREWEED LN STE 202
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2145
Practice Address - Country:US
Practice Address - Phone:907-980-2568
Practice Address - Fax:907-243-5400
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK622101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health