Provider Demographics
NPI:1295178960
Name:MORIN, JULIANNE (LCSW)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 PEMBROKE RD
Mailing Address - Street 2:UNIT 80
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3075
Mailing Address - Country:US
Mailing Address - Phone:203-942-8129
Mailing Address - Fax:203-942-8129
Practice Address - Street 1:136 PEMBROKE RD
Practice Address - Street 2:UNIT 80
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-3075
Practice Address - Country:US
Practice Address - Phone:203-942-8129
Practice Address - Fax:203-942-8129
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0074341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical