Provider Demographics
NPI:1790178978
Name:KARTER, JULIAN NICOLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:NICOLE
Last Name:KARTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JULIAN
Other - Middle Name:NICOLE
Other - Last Name:KARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1195 CLEARVIEW AVE NE APT 16
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-4684
Mailing Address - Country:US
Mailing Address - Phone:503-539-4057
Mailing Address - Fax:
Practice Address - Street 1:1195 CLEARVIEW AVE NE APT 16
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-4684
Practice Address - Country:US
Practice Address - Phone:503-539-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No175T00000XOther Service ProvidersPeer Specialist