Provider Demographics
NPI:1245522663
Name:EAKES, JULIA E (LMFT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:E
Last Name:EAKES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 WATER STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:93836-4618
Mailing Address - Country:US
Mailing Address - Phone:360-821-9901
Mailing Address - Fax:360-565-3912
Practice Address - Street 1:2016 WATER STREET
Practice Address - Street 2:SUITE B
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:93836-4618
Practice Address - Country:US
Practice Address - Phone:360-821-9901
Practice Address - Fax:530-223-1917
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60320077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist