Provider Demographics
NPI:1952673089
Name:HOMB, JULIE C (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:C
Last Name:HOMB
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 JFK RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2846
Mailing Address - Country:US
Mailing Address - Phone:563-582-0044
Mailing Address - Fax:563-582-7308
Practice Address - Street 1:3388 KENNEDY CIR STE 1
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-3903
Practice Address - Country:US
Practice Address - Phone:563-580-1990
Practice Address - Fax:563-582-7308
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001406101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health