Provider Demographics
NPI:1770074890
Name:BARTLEY, JULIANNA (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8828 MERO RD
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-7321
Mailing Address - Country:US
Mailing Address - Phone:206-718-8639
Mailing Address - Fax:
Practice Address - Street 1:4526 FEDERAL AVE BLDG 9
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2132
Practice Address - Country:US
Practice Address - Phone:425-349-8300
Practice Address - Fax:425-349-8282
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-24
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60981230101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor