Provider Demographics
NPI:1871189209
Name:NIELSEN, JULIE F
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:F
Last Name:NIELSEN
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 1:2069 REDWOOD CRST
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-7341
Mailing Address - Country:US
Mailing Address - Phone:760-419-1889
Mailing Address - Fax:
Practice Address - Street 1:2069 REDWOOD CRST
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7341
Practice Address - Country:US
Practice Address - Phone:760-419-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)