Provider Demographics
NPI:1922043207
Name:MCEWEN, JULIANNE (LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:MCEWEN
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:TJOSSEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9881 BRIDGEPORT WAY SW
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-6124
Mailing Address - Country:US
Mailing Address - Phone:253-589-1611
Mailing Address - Fax:253-589-1544
Practice Address - Street 1:9881 BRIDGEPORT WAY SW
Practice Address - Street 2:SUITE B
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-6124
Practice Address - Country:US
Practice Address - Phone:253-589-1611
Practice Address - Fax:253-589-1544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007988101YM0800X
WALF00002260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist