Provider Demographics
NPI:1447527676
Name:HUG, JULIE MARGO (LCSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MARGO
Last Name:HUG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MARGO
Other - Last Name:PRUZANSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:691 SIERRA ROSE DR STE B
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4010
Mailing Address - Country:US
Mailing Address - Phone:775-825-2502
Mailing Address - Fax:775-825-2509
Practice Address - Street 1:691 SIERRA ROSE DR STE B
Practice Address - Street 2:SUITE 200
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4010
Practice Address - Country:US
Practice Address - Phone:775-825-2503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6130-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical