| Julie M Council, Lcsw | |
|
1 W Sunbridge Dr Fayetteville AR 72703-1825 | |
| (479) 443-5575 | |
| (479) 443-9554 |
| Full Name | Julie M Council, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 W Sunbridge Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Lavonna Latta (BUSINESS MANAGER) |
| Authorized Official Contact | 4794435575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie M Council, Lcsw 1 W Sunbridge Dr Fayetteville AR 72703-1825 Ph: (479) 443-5575 | Julie M Council, Lcsw 1 W Sunbridge Dr Fayetteville AR 72703-1825 Ph: (479) 443-5575 |
| NPI Number | 1144490038 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144490038 | NPI | - | NPPES |
| 5X315 | Other | AR | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1558-C (Arkansas) | Primary |
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