Provider Demographics
NPI:1740718428
Name:BETTGE, JULIA ROSE (MA)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ROSE
Last Name:BETTGE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:ARAOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3003 MEMORIAL CT APT 2416
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-6049
Mailing Address - Country:US
Mailing Address - Phone:703-975-4917
Mailing Address - Fax:
Practice Address - Street 1:793 OLD ROUTE 119 HWY NORTH
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-465-5576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor