Provider Demographics
NPI:1245368828
Name:KLING, JULIA NORIAN (MSW)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:NORIAN
Last Name:KLING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 HESSEL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-6328
Mailing Address - Country:US
Mailing Address - Phone:217-356-5234
Mailing Address - Fax:217-398-8947
Practice Address - Street 1:619 HESSEL BLVD
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-6328
Practice Address - Country:US
Practice Address - Phone:217-356-5234
Practice Address - Fax:217-398-8947
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL010-8300OtherBCBSIL