Provider Demographics
NPI:1639259419
Name:ARTHUR, JULIE ANN GLANDON (MED, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN GLANDON
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-1788
Mailing Address - Country:US
Mailing Address - Phone:740-577-3578
Mailing Address - Fax:740-577-3065
Practice Address - Street 1:345 E MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-1788
Practice Address - Country:US
Practice Address - Phone:740-577-3578
Practice Address - Fax:740-577-3065
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.000743101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0181033Medicaid