Julie Ann Nicholson, LPC
Individual provider Active NPI Mental Health Counselor · Vernon, AZ
NPI 1477333235 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1477333235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-1138 (AZ)
- Practice address
- 30 Co Rd 3398
Vernon, AZ 85940 - Phone
- (928) 251-2785
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-1138 | AZ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-1138 | AZ | Yes |
Addresses
Primary practice location
30 Co Rd 3398
Vernon, AZ 85940
Mailing address
PO Box 322
Concho, AZ 85924-0322
Phone (928) 386-9237
Other providers in Vernon, AZ
- Bannon Springs Ranch Christain Health Care
- Bannon Springs Ranch Christain Health Care
- Bannon Springs Ranch Christain Health Care
- Beacon Charities
- Pierce Herbert Goodman
- Scott M. Jensen M.D. Inc.
- Vernon Elementary School District
- Vernon Elementary School District
- Waypoint Recovery
All providers in Vernon, AZ · Mental Health Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.