Provider Demographics
NPI:1124459748
Name:LESTER, JULIE BARBARA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BARBARA
Last Name:LESTER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:BARBARA
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:30 WEST MAIN ST. #305 W
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-240-0135
Mailing Address - Fax:509-847-0156
Practice Address - Street 1:30 WEST MAIN ST. #305
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362
Practice Address - Country:US
Practice Address - Phone:509-240-0135
Practice Address - Fax:509-847-0156
Is Sole Proprietor?:No
Enumeration Date:2013-12-07
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603348205101YM0800X
WAKW606987511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2076268Medicaid