Kieke, Julie Lea

Kieke, Julie Lea is an sole proprietor health care provider with primary practice located at 600 25Th Ave S Ste 109 , Saint Cloud MN 56301. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kieke, Julie Lea can be contacted via phone (320) 255-0343.

Contact Information

Primary practice address
600 25Th Ave S Ste 109 Saint Cloud MN 56301
Fax: (320) 654-0318
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1309 Minnesota

Profile Details

NPI number 1437193398
LBN Legal business name Kieke, Julie Lea
Credentials MA LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437193398 NPPES
Other 387L3KI BCBS
Other HP48615 BCBS
Other 137137C851 BCBS
MEDICAID 335415600 BCBS
Other 922241042558 BCBS

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