Provider Demographics
NPI:1649578931
Name:ADAMI, JULIA ANNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANNE
Last Name:ADAMI
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 1:29670 LONG BRANCH LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:MO
Mailing Address - Zip Code:63552-3614
Mailing Address - Country:US
Mailing Address - Phone:660-385-4363
Mailing Address - Fax:
Practice Address - Street 1:29670 LONG BRANCH LAKE RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:MO
Practice Address - Zip Code:63552-3614
Practice Address - Country:US
Practice Address - Phone:660-385-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004014247101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor