Provider Demographics
NPI:1982769535
Name:STOKE, JULIET CAROLYN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JULIET
Middle Name:CAROLYN
Last Name:STOKE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 W BANK ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-3279
Mailing Address - Country:US
Mailing Address - Phone:804-863-1689
Mailing Address - Fax:804-863-1695
Practice Address - Street 1:356 LODER ST
Practice Address - Street 2:
Practice Address - City:SOUTH WAVERLY
Practice Address - State:PA
Practice Address - Zip Code:18840-2611
Practice Address - Country:US
Practice Address - Phone:570-882-7414
Practice Address - Fax:570-888-1204
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMS000384106H00000X
VA0717001224106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist