Provider Demographics
NPI:1992353767
Name:NOSKOW, JULIE KARA (LCPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:KARA
Last Name:NOSKOW
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 1:4533 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4703
Mailing Address - Country:US
Mailing Address - Phone:301-807-3707
Mailing Address - Fax:
Practice Address - Street 1:4533 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4703
Practice Address - Country:US
Practice Address - Phone:301-807-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1702101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC1702OtherDEPARTMENT OF HEALTH AND MENTAL HYGIENE