Provider Demographics
NPI:1841891512
Name:REES, JULIET (LMSW)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:REES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:J.J.
Other - Middle Name:
Other - Last Name:REES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COMMON NAME
Mailing Address - Street 1:502 NORTHLAND DR NE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7246
Mailing Address - Country:US
Mailing Address - Phone:616-805-3660
Mailing Address - Fax:
Practice Address - Street 1:502 NORTHLAND DR NE STE 100
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7246
Practice Address - Country:US
Practice Address - Phone:616-805-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-07
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010988851041C0700X, 1041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical