Provider Demographics
NPI:1194518852
Name:FUEHNE, JULIET ROSE (DT, QIDP, DSP)
Entity type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:ROSE
Last Name:FUEHNE
Suffix:
Gender:F
Credentials:DT, QIDP, DSP
Other - Prefix:MS
Other - First Name:JULIET
Other - Middle Name:ROSE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DT, QIDP, DSP
Mailing Address - Street 1:134 BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:AVISTON
Mailing Address - State:IL
Mailing Address - Zip Code:62216-3561
Mailing Address - Country:US
Mailing Address - Phone:618-623-8408
Mailing Address - Fax:
Practice Address - Street 1:134 BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:AVISTON
Practice Address - State:IL
Practice Address - Zip Code:62216-3561
Practice Address - Country:US
Practice Address - Phone:618-623-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor