Provider Demographics
NPI:1134756125
Name:WAHLENMAYER, JULIET ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:ELIZABETH
Last Name:WAHLENMAYER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:15042-9367
Mailing Address - Country:US
Mailing Address - Phone:724-312-9235
Mailing Address - Fax:
Practice Address - Street 1:50 ST STEPHENS DRIVE
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063
Practice Address - Country:US
Practice Address - Phone:724-452-4453
Practice Address - Fax:724-452-6576
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012062101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional