Provider Demographics
NPI:1215780358
Name:OLSZEWSKI, JULIA MARY (COUNSELOR, QMHP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARY
Last Name:OLSZEWSKI
Suffix:
Gender:F
Credentials:COUNSELOR, QMHP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IL
Mailing Address - Zip Code:62298-0146
Mailing Address - Country:US
Mailing Address - Phone:618-939-4444
Mailing Address - Fax:618-939-4181
Practice Address - Street 1:988 N ILLINOIS ROUTE 3
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IL
Practice Address - Zip Code:62298-1059
Practice Address - Country:US
Practice Address - Phone:618-939-4444
Practice Address - Fax:618-939-4181
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health