Provider Demographics
NPI:1952805699
Name:PAAVOLA, JULIE LYNN (LPCC, LMHC, ATR-BC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:PAAVOLA
Suffix:
Gender:F
Credentials:LPCC, LMHC, ATR-BC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LYNN
Other - Last Name:PAAVOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9426 CHABOLA RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-4916
Mailing Address - Country:US
Mailing Address - Phone:317-757-9597
Mailing Address - Fax:
Practice Address - Street 1:5405 MOREHOUSE DR STE 330
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4786
Practice Address - Country:US
Practice Address - Phone:619-887-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003866A101YM0800X
CA16026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health