Provider Demographics
NPI:1336453570
Name:SCHNEIDER, JULIE M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:WILLFAHRT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3398 E MARIA DR
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-1362
Mailing Address - Country:US
Mailing Address - Phone:715-341-7441
Mailing Address - Fax:715-341-9178
Practice Address - Street 1:3398 E MARIA DR
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-1362
Practice Address - Country:US
Practice Address - Phone:715-341-7441
Practice Address - Fax:715-341-9178
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3781-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health