Healthcare Provider Details

I. General information

NPI: 1770074890
Provider Name (Legal Business Name): JULIANNA BARTLEY MA, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4526 FEDERAL AVE BLDG 9
EVERETT WA
98203-2132
US

IV. Provider business mailing address

8828 MERO RD
SNOHOMISH WA
98290-7321
US

V. Phone/Fax

Practice location:
  • Phone: 425-349-8300
  • Fax: 425-349-8282
Mailing address:
  • Phone: 206-718-8639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMC60981230
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: