JULIE ANN PRUDOM


Address: 524 W Wayfarer Ct, Appleton, WI 54913-6865
Phone: 9208514041

JULIE ANN PRUDOM (NPI# 1639643802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639643802
Entity Type Individual
Full Name JULIE ANN PRUDOM
Credential LPC
Practice Address 524 W Wayfarer Ct
Appleton
WI 54913-6865
Practice Telephone 9208514041
Mailing Telephone 9208514041
Enumeration Date 2019-01-21
Last Update Date 2019-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
1767-125 WI Behavioral Health & Social Service Providers

Office Location

Street Address 524 W WAYFARER CT
City APPLETON
State WI
Zip Code 54913-6865

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083236178 Katherine Kirchner Counselor 1636 W Homestead Dr, Appleton, WI 54914-2026 2020-05-11
1679114136 Trever Jaymes Allcock Counselor 711 N Lynndale Dr, Appleton, WI 54914-3078 2019-10-04
1780232231 Mark Andrew Wilkerson Counselor 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 2019-08-28
1013563030 Nhia Moua Counselor 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 2019-08-15
1457819419 Charisma L Deyo-sonntag Counselor 1047 N Lynndale Dr Ste 2b, Appleton, WI 54914-3059 2019-03-08
1588130827 Joann Marie Miller Counselor 5601 W Grande Market Dr Ste A1, Appleton, WI 54913-8506 2018-10-14
1003301870 Walk By Faith Counseling, LLC Counselor W6268 Spencer Rd, Appleton, WI 54914-7528 2018-06-25
1699269241 Deanna Sieg Counselor 1920 N Casaloma Dr, Appleton, WI 54913-7982 2018-06-18
1013407501 Teri G Metropulos Counselor 229 S. Morrison, Appleton, WI 54911 2018-05-10
1578074456 Cassandra Fischer Counselor 3003 N Richmond St # B, Appleton, WI 54911-1148 2017-10-18
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Competitor

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City APPLETON
Zip Code 54913

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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