Provider Demographics
NPI:1881754786
Name:HOWARD, JULIE AMES (LCSW, LADC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:AMES
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50
Mailing Address - Street 2:
Mailing Address - City:STRONG
Mailing Address - State:ME
Mailing Address - Zip Code:04983
Mailing Address - Country:US
Mailing Address - Phone:207-491-7191
Mailing Address - Fax:
Practice Address - Street 1:633 WEAT FREEMAN ROAD
Practice Address - Street 2:
Practice Address - City:FREEMAN TWP
Practice Address - State:ME
Practice Address - Zip Code:04983
Practice Address - Country:US
Practice Address - Phone:207-474-8311
Practice Address - Fax:207-474-5148
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME5004631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical