Provider Demographics
NPI:1669138236
Name:ORTIZ, JULIANNE (LPC, MS, NCC)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:LPC, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-2930
Mailing Address - Country:US
Mailing Address - Phone:717-454-8177
Mailing Address - Fax:
Practice Address - Street 1:319 MILLER RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-2930
Practice Address - Country:US
Practice Address - Phone:717-454-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013936101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor