Individual
ROXANNE LEE FEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
126 N 10TH ST, FORT DODGE, IA 50501-3915
(515) 576-6500
Mailing address
126 N 10TH ST, FORT DODGE, IA 50501-3915
(515) 576-6500
(515) 576-1951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
076354
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
Enumeration date
02/10/2015
Last updated
11/23/2020
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