Provider Demographics
NPI:1972657732
Name:SELLNER, JULIE E (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:E
Last Name:SELLNER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 LOURDES RD
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:IL
Mailing Address - Zip Code:61548-7609
Mailing Address - Country:US
Mailing Address - Phone:309-383-4323
Mailing Address - Fax:309-383-4323
Practice Address - Street 1:1431 LOURDES RD
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:IL
Practice Address - Zip Code:61548-7609
Practice Address - Country:US
Practice Address - Phone:309-383-4323
Practice Address - Fax:309-383-4323
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional