Provider Demographics
NPI:1265768105
Name:MCGINNIS, JULIE GRAHAM (LCMHCS)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:GRAHAM
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 645
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-0645
Mailing Address - Country:US
Mailing Address - Phone:828-289-7612
Mailing Address - Fax:
Practice Address - Street 1:431 S MAIN ST STE 9&10
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2946
Practice Address - Country:US
Practice Address - Phone:828-289-7612
Practice Address - Fax:800-782-9209
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional