Provider Demographics
NPI:1487244968
Name:TIGNER, JULIE AJ (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:AJ
Last Name:TIGNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9061 E FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-9317
Mailing Address - Country:US
Mailing Address - Phone:907-416-3997
Mailing Address - Fax:907-600-1784
Practice Address - Street 1:9061 E FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9317
Practice Address - Country:US
Practice Address - Phone:907-416-3997
Practice Address - Fax:907-600-1784
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health