Provider Demographics
NPI:1932227592
Name:DAUM, JULIE MICHELLE (MA,LMHC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:MICHELLE
Last Name:DAUM
Suffix:
Gender:F
Credentials:MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1281 E LAKESHORE DR W
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-9002
Mailing Address - Country:US
Mailing Address - Phone:360-229-3257
Mailing Address - Fax:
Practice Address - Street 1:2535 MITCHELL RD SE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-4410
Practice Address - Country:US
Practice Address - Phone:360-415-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health