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All patients and visitors entering our facilities are required to wear an approved face mask

If you are experiencing any sick symptoms (cough, fever, runny nose, sore throat, etc.) when you arrive for your appointment, please stay outside and call to let us know you have arrived

Our Providers

Julie A. Armstrong, LCSW

Behavioral Health

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Karen Holder, FNP, has been part of North Country HealthCare since its inception in 1991. At North Country HealthCare, we believe every person deserve …

Julie A. Armstrong, LCSW

Location: Flagstaff 4th Street, Flagstaff Pediatric Care

Specialty: Behavorial Health

Areas of Interest: Adolescents, Adults, Children

Board Certifications: 

  • AZ Board of Behavioral Health

Work History & Leadership:

  • North Country HealthCare; Flagstaff, AZ; 2021
  • Health Choice of AZ; BC/BS of AZ; 2017-2021
  • Flagstaff Medical Center – Fit Kids; Flagstaff, AZ; 2015-2017
  • Northern Arizona Regional Behavioral Health Authority (NARBHA); Flagstaff, AZ; 2012-2014
  • Arizona Children’s Association; Flagstaff, AZ; 2001-2012
  • Key Point Health Services; Catonsville, MD; 1998-1999
  • Johns Hopkins at Bayview drug and alcohol detox & IOP services; 1996-1998
  • Palau Nation Hospital; Koror, Palau; 1994-1996
  • University of Maryland Psychiatric Research Center; Catonsville, MD
  • Vantage Place; Columbia, MD; 1986-1989

Fun Facts: I have lived in Flagstaff for 20 years and love being part of  a close-knit community. I live with my husband and our 3 dogs. On my free time I enjoy hiking with my dogs and spending time with my 5 year old granddaughter and my two sons. I am looking forward to working with NCHC patients and the community.



  • Internship: South East Middle School; Baltimore, MD; 1991
  • Internship: The Patuxent Institution; Jessup, MD; 1990
  • Graduate School: MSW; University of Maryland at Baltimore; Baltimore, MD; 1991
  • Undergraduate: BA in Psychology; Castleton State College; Castleton, VT; 1986









Publications & Special Projects





Patient Satisfaction

We want to improve and you can help! After each visit you may receive a survey via mail or email. This is your opportunity to tell us what we did well and where we could use some improvement. We value your input and act on survey results on a regular basis. North Country HealthCare is committed to providing a quality experience to you and your family at each visit.

To ensure we are holding ourselves to the highest standards, we partner with an independent patient satisfaction company, Press Ganey. For nearly 30 years, Press Ganey’s mission has been to support healthcare providers in understanding and improving the entire patient experience. As a business partner to more than 20,000 healthcare organizations, Press Ganey leads the industry in transforming the patient experience and creating continuous, sustainable improvement.



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