Provider Demographics
NPI:1568074482
Name:SANDERS, JULIA PATRICIA (LCPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:PATRICIA
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HARBORVIEW DR UNIT 408
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5436
Mailing Address - Country:US
Mailing Address - Phone:443-827-3528
Mailing Address - Fax:
Practice Address - Street 1:100 HARBORVIEW DR UNIT 408
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-5436
Practice Address - Country:US
Practice Address - Phone:443-827-3528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YP2500X
MD3037101YS0200X
MDLC13063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool