Provider Demographics
NPI:1699436519
Name:WELLS, JULIE (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:WELLS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-3465
Mailing Address - Country:US
Mailing Address - Phone:484-792-1912
Mailing Address - Fax:
Practice Address - Street 1:212 SKYLAR CT
Practice Address - Street 2:
Practice Address - City:SHAMONG
Practice Address - State:NJ
Practice Address - Zip Code:08088-9611
Practice Address - Country:US
Practice Address - Phone:856-279-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00504300101Y00000X
NJ37PC00951100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor