| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JULIA NICOLE HUMPHREY | 1093304701 | 2021-01-16 |
Julia Nicole Humphrey is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093304701. Registration indicates Julia Nicole Humphrey is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Julia Nicole Humphrey |
| Practice Office Address | 54 S JACKSON ST JANESVILLE, WI US |
| Practice Office Telephone | 6082252108 |
| Mailing Address | 6333 ODANA RD STE 20 MADISON, WI 537191130 US |
| Code | Practice | License No State |
|---|---|---|
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers |