MEDICARE: JULIA NOLAN

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		VT

General Provider Information

NPI Number	:	1609746064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA NOLAN

Provider Business Mailing Address
First Line	:	25 FLETCHER RD UNIT 104
Second Line	:
City	:	FAIRFAX
State	:	VT
Zip	:	05454-9820
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 MAIN ST
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-3200
Country	:	US
Telephone Number	:	802-879-6556
Fax Number	:

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “ JULIA NOLAN ” Practice Location

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