Provider Demographics
NPI:1801087242
Name:BERMAN, JULIE CARYN (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CARYN
Last Name:BERMAN
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 1:205 SE SPOKANE ST STE 358
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6494
Mailing Address - Country:US
Mailing Address - Phone:917-370-2358
Mailing Address - Fax:917-370-2358
Practice Address - Street 1:205 SE SPOKANE ST STE 358
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-6494
Practice Address - Country:US
Practice Address - Phone:917-370-2358
Practice Address - Fax:917-370-2358
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health