Provider Demographics
NPI:1316251200
Name:STRONG, JULIE ANN (MA,LLP,CAAC)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ANN
Last Name:STRONG
Suffix:
Gender:F
Credentials:MA,LLP,CAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:57418 COUNTY ROAD 681
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49057-9421
Mailing Address - Country:US
Mailing Address - Phone:269-621-3143
Mailing Address - Fax:269-621-2725
Practice Address - Street 1:57418 COUNTY ROAD 681
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:MI
Practice Address - Zip Code:49057-9421
Practice Address - Country:US
Practice Address - Phone:269-621-3143
Practice Address - Fax:269-621-2725
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI631009241101Y00000X
MI6361006050103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor