Provider Demographics
NPI:1710009998
Name:DREISBACH, JULIE K (MFT ASSOCIATE)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:K
Last Name:DREISBACH
Suffix:
Gender:F
Credentials:MFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MERIDIAN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4940
Mailing Address - Country:US
Mailing Address - Phone:502-457-2108
Mailing Address - Fax:502-457-2108
Practice Address - Street 1:120 MERIDIAN AVE STE 7
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4940
Practice Address - Country:US
Practice Address - Phone:502-457-2108
Practice Address - Fax:502-457-2108
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional