Provider Demographics
NPI:1891201299
Name:JULIET, LINELL (MA)
Entity Type:Individual
Prefix:
First Name:LINELL
Middle Name:
Last Name:JULIET
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 7TH ST # 3
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5026
Mailing Address - Country:US
Mailing Address - Phone:303-546-9913
Mailing Address - Fax:
Practice Address - Street 1:1910 7TH ST # 3
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5026
Practice Address - Country:US
Practice Address - Phone:303-546-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional