Provider Demographics
NPI:1780561209
Name:CONLON, JULIE ALENA
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ALENA
Last Name:CONLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 LOOKOUT DR
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964-2018
Mailing Address - Country:US
Mailing Address - Phone:740-821-1879
Mailing Address - Fax:
Practice Address - Street 1:23 LOOKOUT DR
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-2018
Practice Address - Country:US
Practice Address - Phone:740-821-1879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator