MEDICARE: MRS. JULIA ANNE GRAHAM SUDP, LMHC, WSCGC-I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61516801	WA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00003273	WA

General Provider Information

NPI Number	:	1033488515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIA ANNE GRAHAM SUDP, LMHC, WSCGC-I

Provider Business Mailing Address
First Line	:	7106 VANDERMARK RD E
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-8622
Country	:	US
Telephone Number	:	253-906-9964
Fax Number	:

Provider Business Practice Location Address
First Line	:	7106 VANDERMARK RD E
Second Line	:
City	:	BONNEY LAKE
State	:	WA
Zip	:	98391-8622
Country	:	US
Telephone Number	:	253-906-9964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2011
Last Update Date	:	01/22/2026

Similar Medicare Providers

1508873019 — DR. GERALD A FISHMAN MD
Practice Location Address:

1526 LAKE MURRAY BLVD
COLUMBIA, SC
29212-8622

Practice Phone: 803-749-1155
Practice Fax: 803-791-2203

1104969252 — DR. GREGORY K FULCHER MD
Practice Location Address:

1526 LAKE MURRAY BLVD
COLUMBIA, SC
29212-8622

Practice Phone: 803-749-1155
Practice Fax: 803-749-1786

1659589232 — MS. TERESA LYNN HATHCOX FNP-BC
Practice Location Address:

1526 LAKE MURRAY BLVD
COLUMBIA, SC
29212-8622

Practice Phone: 803-749-1155
Practice Fax: 803-749-1786

1306004478 — WALGREEN CO
Practice Location Address:

1532 LAKE MURRAY BLVD
COLUMBIA, SC
29212-8622

Practice Phone: 803-732-1975
Practice Fax: 803-732-4746

1598072134 — ST THOMAS AMBULANCE INC
Practice Location Address:

8622 ELM LAKE DR
HOUSTON, TX
77083-5389

Practice Phone: 832-364-0214
Practice Fax: 281-565-9874

1881991123 — NATHAN DONOVAN BOYLSTON JR.
Practice Location Address:

1532 LAKE MURRAY BLVD
COLUMBIA, SC
29212-8622

Practice Phone: 803-732-1975
Practice Fax:

Directions to “ MRS. JULIA ANNE GRAHAM SUDP, LMHC, WSCGC-I” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.