Provider Demographics
NPI:1417961301
Name:KINTZING, JULIE A (LCSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:KINTZING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20944
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80308-3944
Mailing Address - Country:US
Mailing Address - Phone:303-875-6207
Mailing Address - Fax:
Practice Address - Street 1:2031 BROADWAY ST
Practice Address - Street 2:STE 5
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5266
Practice Address - Country:US
Practice Address - Phone:303-875-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health