Provider Demographics
NPI:1427851732
Name:VARGHESE, JULIET THOMAS (MSC, ALMFT)
Entity type:Individual
Prefix:MISS
First Name:JULIET
Middle Name:THOMAS
Last Name:VARGHESE
Suffix:
Gender:
Credentials:MSC, ALMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 W IRVING PARK RD FL 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-3539
Mailing Address - Country:US
Mailing Address - Phone:331-806-9438
Mailing Address - Fax:
Practice Address - Street 1:3036 W IRVING PARK RD FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-3539
Practice Address - Country:US
Practice Address - Phone:331-806-9438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.001275106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist