Healthcare Provider Details

I. General information

NPI: 1023482817
Provider Name (Legal Business Name): JULEE GELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4621 N 1ST AVE
TUCSON AZ
85718-5671
US

IV. Provider business mailing address

PO BOX 5807
TUCSON AZ
85703-0807
US

V. Phone/Fax

Practice location:
  • Phone: 520-240-2715
  • Fax:
Mailing address:
  • Phone: 520-240-2715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 15725
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: