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NPI Code Detail

MEDICARE: JULIE MAUNTEL

MEDICARE: JULIE MAUNTEL
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548991904
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MAUNTEL
Provider Business Mailing Address
First Line : 155 KAISER WAY
Second Line :
City : DEWEY
State : OK
Zip : 74029-3029
Country : US
Telephone Number : 580-761-5331
Fax Number :
Provider Business Practice Location Address
First Line : 3650 CAMELOT DR
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-7623
Country : US
Telephone Number : 918-331-9050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 06/17/2022

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