MEDICARE: JULIA C LAFORTUNE

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	101YA0400X	Addiction (Substance Use Disorder) Counselor		WA

General Provider Information

NPI Number	:	1093646846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA C LAFORTUNE

Provider Business Mailing Address
First Line	:	1068 SELAH LOOP RD UNIT A
Second Line	:
City	:	SELAH
State	:	WA
Zip	:	98942-8817
Country	:	US
Telephone Number	:	509-580-0144
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 217
Second Line	:
City	:	SELAH
State	:	WA
Zip	:	98942-0217
Country	:	US
Telephone Number	:	509-457-0990
Fax Number	:	509-454-4548

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ JULIA C LAFORTUNE ” Practice Location

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