Healthcare Provider Details

I. General information

NPI: 1730759325
Provider Name (Legal Business Name): JULIE MARIE CUTRELL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E SLIFER ST
PORTAGE WI
53901-1254
US

IV. Provider business mailing address

303 5TH ST
BARABOO WI
53913-2222
US

V. Phone/Fax

Practice location:
  • Phone: 608-745-1751
  • Fax: 608-745-1757
Mailing address:
  • Phone: 608-477-1293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number772-228
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2385124
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: