Provider Demographics
NPI:1699446278
Name:WALTON, JULI (LCPC)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:
Last Name:WALTON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 PARK AVENUE EAST
Mailing Address - Street 2:HIGHLAND PARK, IL 60035
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1526
Mailing Address - Country:US
Mailing Address - Phone:847-204-2523
Mailing Address - Fax:
Practice Address - Street 1:426 PARK AVENUE EAST
Practice Address - Street 2:HIGHLAND PARK, IL 60035
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1526
Practice Address - Country:US
Practice Address - Phone:847-204-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
IL178.015511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty