MEDICARE: KRISTEN ANN JULIANO

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114275674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN ANN JULIANO

Provider Business Mailing Address
First Line	:	7510 SUN KEY BLVD APT 3321
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-6955
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	804 N WOODLAND BLVD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-2709
Country	:	US
Telephone Number	:	386-734-7571
Fax Number	:

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

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	08/15/2012

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Directions to “ KRISTEN ANN JULIANO ” Practice Location

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