Provider Demographics
NPI:1851724660
Name:ARCHAMBAULT, JULIA C (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:C
Last Name:ARCHAMBAULT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 N SHERMAN ST
Mailing Address - Street 2:SUITE 650
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3529
Mailing Address - Country:US
Mailing Address - Phone:720-334-7123
Mailing Address - Fax:
Practice Address - Street 1:789 N SHERMAN ST
Practice Address - Street 2:SUITE 650
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3529
Practice Address - Country:US
Practice Address - Phone:720-334-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099242301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty