Provider Demographics
NPI:1730446691
Name:LADD, JULIE R (LCMFT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:R
Last Name:LADD
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 N ROSE HILL RD STE C
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-9448
Mailing Address - Country:US
Mailing Address - Phone:316-217-8595
Mailing Address - Fax:316-243-9208
Practice Address - Street 1:1029 N ROSE HILL RD STE C
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:KS
Practice Address - Zip Code:67133-9448
Practice Address - Country:US
Practice Address - Phone:316-217-8595
Practice Address - Fax:316-243-9208
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS893106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist