Provider Demographics
NPI:1750092821
Name:CSIKY, JULIA L (QMHP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:L
Last Name:CSIKY
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:L
Other - Last Name:HANNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1333 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-1482
Mailing Address - Country:US
Mailing Address - Phone:541-447-2631
Mailing Address - Fax:
Practice Address - Street 1:446 NW 3RD ST STE 104
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-1757
Practice Address - Country:US
Practice Address - Phone:541-388-8459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health