Provider Demographics
NPI:1366337941
Name:DOWER, JULIA (CASAC-ADVANCED)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:DOWER
Suffix:
Gender:F
Credentials:CASAC-ADVANCED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 JEFFERSON ST # 2
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-1148
Mailing Address - Country:US
Mailing Address - Phone:845-250-1115
Mailing Address - Fax:
Practice Address - Street 1:64 JEFFERSON ST # 2
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1148
Practice Address - Country:US
Practice Address - Phone:845-250-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY35490101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)