Healthcare Provider Details
I. General information
NPI: 1629700323
Provider Name (Legal Business Name): JULIANNA LEE NEVSETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/30/2022
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 MARKET ST
STEUBENVILLE OH
43952-2153
US
IV. Provider business mailing address
320 MARKET ST
STEUBENVILLE OH
43952-2153
US
V. Phone/Fax
- Phone: 740-314-5339
- Fax:
- Phone: 740-314-5339
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CDCA.183765 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: