Provider Demographics
NPI:1912876756
Name:YOUNG, JULIE GABRIELLE
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:GABRIELLE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 DAY ST
Mailing Address - Street 2:
Mailing Address - City:DERBY LINE
Mailing Address - State:VT
Mailing Address - Zip Code:05830-8728
Mailing Address - Country:US
Mailing Address - Phone:802-647-3181
Mailing Address - Fax:
Practice Address - Street 1:137 BARTON ACADEMY AND GRADED SCHOOL
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:VT
Practice Address - Zip Code:05822
Practice Address - Country:US
Practice Address - Phone:802-525-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0134193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health