Provider Demographics
NPI:1891589404
Name:WASHINGTON, JUELLE (LMHC)
Entity type:Individual
Prefix:MS
First Name:JUELLE
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:
Credentials:LMHC
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 25061
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11202-5061
Mailing Address - Country:US
Mailing Address - Phone:347-337-9826
Mailing Address - Fax:
Practice Address - Street 1:136 STATE ST APT 1C
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5440
Practice Address - Country:US
Practice Address - Phone:347-337-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health