Provider Demographics
NPI:1124171095
Name:MCCHESNEY, JULIEANNE (LMHP MS)
Entity type:Individual
Prefix:MRS
First Name:JULIEANNE
Middle Name:
Last Name:MCCHESNEY
Suffix:
Gender:F
Credentials:LMHP MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 EAST 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101
Mailing Address - Country:US
Mailing Address - Phone:308-534-9271
Mailing Address - Fax:308-534-1447
Practice Address - Street 1:108 EAST 2ND STREET
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101
Practice Address - Country:US
Practice Address - Phone:308-534-9271
Practice Address - Fax:308-534-1447
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1895101YM0800X
NE1223101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
092150OtherUNITED HEALTH CARE
NED84512OtherBCBS
NE10025003100Medicaid