Provider Demographics
NPI:1821544966
Name:SHEWMAN, JULIE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:SHEWMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 HUFFMAN RD STE 24-413
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3516
Mailing Address - Country:US
Mailing Address - Phone:907-538-4622
Mailing Address - Fax:866-864-0878
Practice Address - Street 1:1120 HUFFMAN RD STE 24-413
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3516
Practice Address - Country:US
Practice Address - Phone:907-538-4622
Practice Address - Fax:866-864-0878
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-62298101YP2500X
AK106477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional