Provider Demographics
NPI:1013162023
Name:STEVENS, JULIE FOX (LMHC, NCC, MA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:FOX
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LMHC, NCC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 99TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3887
Mailing Address - Country:US
Mailing Address - Phone:515-537-3030
Mailing Address - Fax:
Practice Address - Street 1:3230 99TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3887
Practice Address - Country:US
Practice Address - Phone:515-537-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health