Provider Demographics
NPI:1104469493
Name:KOWALSKI, JULIE M (MA, LPC)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:M
Last Name:KOWALSKI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:M
Other - Last Name:KOWALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1653 LITITZ PIKE # 1214
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6507
Mailing Address - Country:US
Mailing Address - Phone:717-723-9578
Mailing Address - Fax:
Practice Address - Street 1:1653 LITITZ PIKE # 1214
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6507
Practice Address - Country:US
Practice Address - Phone:717-723-9578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-20
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011618101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional