Provider Demographics
NPI:1609929181
Name:HUDAK-SALVAT, JULIE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MARIE
Last Name:HUDAK-SALVAT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:SALVAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10 BOULDER CRESCENT STREET, SUITE 302A
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903
Mailing Address - Country:US
Mailing Address - Phone:719-375-9285
Mailing Address - Fax:719-578-1911
Practice Address - Street 1:10 BOULDER CRESCENT STREET, SUITE 302A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:719-375-9285
Practice Address - Fax:719-578-1911
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9916241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical