Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 24568 | IL |
Y | 101YP2500X | Professional Counselor | 180.006253 | IL |
NPI | 1013060276 |
---|---|
Provider Name | Mrs. Julie Louise Field |
First Address | West Dundee, IL 60118-7301 |
Second Address | Geneva, IL 60134-2111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 17/03/2018 |