Provider Demographics
NPI:1942420393
Name:MARSH, JULIE ANNE (MA LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:MARSH
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 S LONGMORE APT 2131
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-3171
Mailing Address - Country:US
Mailing Address - Phone:602-531-4232
Mailing Address - Fax:480-964-4485
Practice Address - Street 1:2303 N 44TH ST STE 14-1478
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-2457
Practice Address - Country:US
Practice Address - Phone:602-531-4232
Practice Address - Fax:480-964-4485
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC10288101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ746365OtherAHCCCS