Julie Wennekes
Individual provider Active NPI Professional Counselor · Beverly Shores, IN
NPI 1982171872 · NPPES record last updated Oct 29, 2018
Key facts
- NPI
- 1982171872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 12 E Ripplewater Ave
Beverly Shores, IN 46301-0249 - Phone
- (209) 380-8348
- NPI assigned
- Oct 29, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
12 E Ripplewater Ave
Beverly Shores, IN 46301-0249
Mailing address
PO Box 44
Beverly Shores, IN 46301-0044
Phone (209) 380-8348
Other providers in Beverly Shores, IN
All providers in Beverly Shores, IN · Professional Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2018. 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.