Individual
JULIE DE VRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N 12TH ST, CENTERVILLE, IA 52544-1704
(641) 895-8879
Mailing address
208 N 12TH ST, CENTERVILLE, IA 52544-1704
(641) 895-8879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
084545
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912952367
—
IA
Enumeration date
12/21/2016
Last updated
11/10/2025
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