Provider Demographics
NPI:1932227592
Name:DAUM, JULIE MICHELLE (MA,LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MICHELLE
Last Name:DAUM
Suffix:
Gender:F
Credentials:MA,LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1567 E GRAPEVIEW LOOP RD
Mailing Address - Street 2:
Mailing Address - City:GRAPEVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98546-9649
Mailing Address - Country:US
Mailing Address - Phone:360-229-3792
Mailing Address - Fax:
Practice Address - Street 1:1567 E GRAPEVIEW LOOP RD
Practice Address - Street 2:
Practice Address - City:GRAPEVIEW
Practice Address - State:WA
Practice Address - Zip Code:98546-9649
Practice Address - Country:US
Practice Address - Phone:360-229-3792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60024568101YM0800X
ORC6825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health