Provider Demographics
NPI:1942786355
Name:SCOTT, JULIE ANNE (MS, NCC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N52W14104 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-6828
Mailing Address - Country:US
Mailing Address - Phone:608-790-1206
Mailing Address - Fax:
Practice Address - Street 1:N52W14104 ABERDEEN DR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-6828
Practice Address - Country:US
Practice Address - Phone:608-790-1206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional