Provider Demographics
NPI:1457719957
Name:JULANDER INNER STRENGTH & POTENTIAL
Entity Type:Organization
Organization Name:JULANDER INNER STRENGTH & POTENTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JULANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-644-9678
Mailing Address - Street 1:1029 W 8150 S
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:UT
Mailing Address - Zip Code:84340-6708
Mailing Address - Country:US
Mailing Address - Phone:801-644-9678
Mailing Address - Fax:
Practice Address - Street 1:1133 N MAIN ST STE 127
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-4830
Practice Address - Country:US
Practice Address - Phone:801-298-7185
Practice Address - Fax:801-315-5563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7027165-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty