MEDICARE: MS. JULIE ANN KARELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1235400573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE ANN KARELS

Provider Business Mailing Address
First Line	:	5433 PORTLAND AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55417-2441
Country	:	US
Telephone Number	:	612-419-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	2324 UNIVERSITY AVE W
Second Line	:	SUITE 120
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1843
Country	:	US
Telephone Number	:	651-644-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	04/25/2017

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