Provider Demographics
NPI:1144386723
Name:ZABOLIO, JULIE E (MA, LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:ZABOLIO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:ZABOLIO-NOVOSAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:41 MONTEBELLO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1379
Mailing Address - Country:US
Mailing Address - Phone:719-545-2746
Mailing Address - Fax:719-542-9638
Practice Address - Street 1:1012 W ABRIENDO AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-1128
Practice Address - Country:US
Practice Address - Phone:719-545-2746
Practice Address - Fax:719-583-4160
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14600101YP2500X
COLPC.0005309101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0287799-02Medicaid