Provider Demographics
NPI:1861630295
Name:MAXWELL, JULIA KAY (LMHC, CHT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:KAY
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:LMHC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10209 BRIDGEPORT WAY SW
Mailing Address - Street 2:C-10
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2320
Mailing Address - Country:US
Mailing Address - Phone:253-640-3146
Mailing Address - Fax:253-203-6986
Practice Address - Street 1:10209 BRIDGEPORT WAY SW
Practice Address - Street 2:C-10
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2320
Practice Address - Country:US
Practice Address - Phone:253-640-3146
Practice Address - Fax:253-203-6986
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60273027101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health