Provider Demographics
NPI:1932703501
Name:KREBS-MARTIN, JULIA JOYCE (LMHC, LCMHC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:JOYCE
Last Name:KREBS-MARTIN
Suffix:
Gender:F
Credentials:LMHC, LCMHC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:JOYCE
Other - Last Name:KREBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LCMHC
Mailing Address - Street 1:2016 LILLY BROOK ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-9413
Mailing Address - Country:US
Mailing Address - Phone:646-808-4572
Mailing Address - Fax:
Practice Address - Street 1:130 IOWA LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4494
Practice Address - Country:US
Practice Address - Phone:919-585-5085
Practice Address - Fax:919-585-5085
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011366101Y00000X
101YA0400X
NC16308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)