Provider Demographics
NPI:1023148954
Name:OWEN, JULIE ANNE (MA, LPC, CAC II)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANNE
Last Name:OWEN
Suffix:
Gender:F
Credentials:MA, LPC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 N LARKSPUR CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8002
Mailing Address - Country:US
Mailing Address - Phone:720-232-0670
Mailing Address - Fax:
Practice Address - Street 1:311 MAPLETON AVENUE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-9130
Practice Address - Country:US
Practice Address - Phone:720-232-0670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2812101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health