Provider Demographics
NPI:1417949587
Name:KOVE, JULIE E (LP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:E
Last Name:KOVE
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KOVE
Other - Last Name:LINDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1585
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-1585
Mailing Address - Country:US
Mailing Address - Phone:719-589-0115
Mailing Address - Fax:719-589-0115
Practice Address - Street 1:315 STATE AVE
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2637
Practice Address - Country:US
Practice Address - Phone:719-589-0115
Practice Address - Fax:719-589-0115
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC1143101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional