Provider Demographics
NPI:1548432057
Name:MORGAN, JULIE A (MC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44214
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87174-4214
Mailing Address - Country:US
Mailing Address - Phone:505-891-1769
Mailing Address - Fax:
Practice Address - Street 1:1004 WATERFALL DR NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-3709
Practice Address - Country:US
Practice Address - Phone:505-891-1769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0103281106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist