Individual provider · Type 1 NPI

Julie Anne Tevenan, LSW

Mental Health Counselor · Round Lake Park, IL

NPI number 1669627576 Active

Practice location

121 E Washington St
Round Lake Park, IL 60073-3000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149-012818 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1669627576

Julie Anne Tevenan, LSW's National Provider Identifier is 1669627576, issued on Nov 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Round Lake Park, IL. The record was last updated on Nov 19, 2008.