DR. JULIE LYNN EDSTROM (NPI# 1184919813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184919813 |
| Entity Type | Individual |
| Full Name | DR. JULIE LYNN EDSTROM |
| Credential | PH.D., LPC |
| Practice Address |
12644 Chapel Rd Suite 211 Clifton VA 20124-1706 |
| Mailing Address |
6367 Yates Ford Rd Manassas VA 20111-2600 |
| Practice Telephone | 7039011807 |
| Practice Fax Number | 7038152928 |
| Mailing Telephone | 7039011807 |
| Mailing Fax Number | 7038152928 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701004621 | VA | Behavioral Health & Social Service Providers |
| Street Address |
12644 CHAPEL RD SUITE 211 |
| City | CLIFTON |
| State | VA |
| Zip Code | 20124-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912092198 | Gale Otello Cleveland | Counselor | 12644 Chapel Rd, Suite 112, Clifton, VA 20124-1706 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205350527 | Mary Berkley | Physical Therapy Assistant | 6706 Rock Fall Ct, Clifton, VA 20124 | 2017-07-28 |
| 1083155485 | Joseph Nicholas Martinez | Specialist/Technologist | 6590 Rockland Drive, Clifton, VA 20124 | 2017-03-17 |
| 1386075943 | Rowena Olifernes | Occupational Therapist | 13405 Trey Lane, Clifton, VA 20124 | 2013-12-09 |
| 1023318318 | Harold R Kober | Pharmacist | 6103 Union Village Dr., Clifton, VA 20124 | 2010-11-02 |
| 1679105936 | Erica Cavaluzzi | Dental Hygienist | 13532 Mallard Watch Way, Clifton, VA 20124-0920 | 2020-02-05 |
| 1164970828 | Morgan Cripe | Specialist/Technologist | 5670 Lonesome Dove Ct, Clifton, VA 20124-0925 | 2016-09-12 |
| 1700497245 | Leena Khan | Student in an Organized Health Care Education/Training Program | 5330 Sandy Point Ln, Clifton, VA 20124-0942 | 2020-08-10 |
| 1639506066 | Footprints Behavior Services LLC | Behavioral Analyst | 5878 Orchard Hill Ct, Clifton, VA 20124-1064 | 2013-09-30 |
| 1295123461 | Kim Kuykendall | Physical Therapy Assistant | 13512 Little Brook Dr, Clifton, VA 20124-1083 | 2014-12-22 |
| 1891905253 | Edwin Ross Adair IIi | Optometrist | 5718 Union Mill Rd, Clifton, VA 20124-1088 | 2007-05-23 |
| Find all providers in zip 20124 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1639703119 | Grand Valley Professional Counseling Services. LLC | Counselor | 3228 Front St, Clifton, CO 81520-7601 | 2020-02-24 |
| 1891328514 | David Alvarez | Counselor | 28 Highview Dr, Clifton, NJ 07013-3320 | 2020-02-20 |
| 1730647553 | Harold Fortunato | Counselor | 34 Lowry Ct Apt D, Clifton, NJ 07012-3349 | 2019-03-11 |
| 1043775695 | Carlos Hernandez | Counselor | 730 Broad St Ste 2, Clifton, NJ 07013-1643 | 2019-02-07 |
| 1932697612 | Zachary Pitoniak | Counselor | 1010 Clifton Ave Ste 201, Clifton, NJ 07013-3528 | 2018-04-27 |
| 1922512185 | Jameline Jacqueline Lofing | Counselor | 628 Livvy Ct, Clifton, CO 81520-7444 | 2017-11-27 |
| 1790189603 | Terrell Proctor | Counselor | 291 River Road, Clifton, NJ 07014 | 2014-10-21 |
| 1407262207 | Matthew Lichten | Counselor | 777 Passaic Ave Ste 365, Clifton, NJ 07012-1804 | 2014-07-01 |
| 1245520931 | Gianna Marie Caruso | Counselor | 46 Macarthur Dr, Clifton, NJ 07013-3926 | 2011-04-14 |
| Find all providers in CLIFTON | ||||
Please comment or provide details below to improve the information on DR. JULIE LYNN EDSTROM.
| 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.