Provider Demographics
NPI:1457577116
Name:TOLAND, JULIA STEVENS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:STEVENS
Last Name:TOLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 PLATTE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6407
Mailing Address - Country:US
Mailing Address - Phone:970-372-8585
Mailing Address - Fax:
Practice Address - Street 1:760 WHALERS WAY STE C200
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-7527
Practice Address - Country:US
Practice Address - Phone:970-372-8585
Practice Address - Fax:970-204-7883
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9850891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical