Provider Demographics
NPI:1720460512
Name:JULIET N KULUBYA
Entity type:Organization
Organization Name:JULIET N KULUBYA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY COUNSELLOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:NANKINGA
Authorized Official - Last Name:KULUBYA
Authorized Official - Suffix:
Authorized Official - Credentials:MENTAL HEALTH
Authorized Official - Phone:617-610-4126
Mailing Address - Street 1:241 LEXINGTON ST # 10
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-5945
Mailing Address - Country:US
Mailing Address - Phone:617-610-4126
Mailing Address - Fax:
Practice Address - Street 1:241 LEXINGTON ST # 10
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-5945
Practice Address - Country:US
Practice Address - Phone:617-610-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health