Healthcare Provider Details

I. General information

NPI: 1023254786
Provider Name (Legal Business Name): JULIA KATHRYN CARTIER PCC, MAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2008
Last Update Date: 12/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 ROCKSIDE RD SUITE 240
INDEPENDENCE OH
44131-2358
US

IV. Provider business mailing address

6000 W CREEK RD SUITE 20
INDEPENDENCE OH
44131-2182
US

V. Phone/Fax

Practice location:
  • Phone: 216-986-1170
  • Fax: 216-986-1016
Mailing address:
  • Phone: 216-986-1170
  • Fax: 216-986-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0001894
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: