Provider Demographics
NPI:1306293550
Name:RAPPAPORT, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:RAPPAPORT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:RAPPAPORT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:5377 MANHATTAN CIRCLE
Mailing Address - Street 2:#204
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303
Mailing Address - Country:US
Mailing Address - Phone:303-396-8084
Mailing Address - Fax:
Practice Address - Street 1:5377 MANHATTAN CIR
Practice Address - Street 2:#204
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4333
Practice Address - Country:US
Practice Address - Phone:303-396-8084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional