Julie Anderson Dennis
Individual provider Active NPI Mental Health Counselor · Sandpoint, ID
NPI 1841065638 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1841065638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 22631 (CA)
- Practice address
- 302 Alexander Way
Sandpoint, ID 83864-8696 - Phone
- (926) 683-2399
- NPI assigned
- Nov 21, 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 |
|---|---|---|---|
| 22631 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22631 | CA | Yes |
Addresses
Primary practice location
302 Alexander Way
Sandpoint, ID 83864-8696
Mailing address
302 Alexander Way
Sandpoint, ID 83864-8696
Phone (926) 683-2399
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All providers in Sandpoint, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 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.