Fevold, Roxanne Lee

Fevold, Roxanne Lee is an individual health care provider with primary practice located at 126 N 10Th St , Fort Dodge IA 50501-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fevold, Roxanne Lee can be contacted via phone (515) 576-6500.

Contact Information

Primary practice address
126 N 10Th St Fort Dodge IA 50501-3915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 076354 Iowa

Profile Details

NPI number 1558752766
LBN Legal business name Fevold, Roxanne Lee
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Nov 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558752766 NPPES
Iowa MEDICAID 0159608

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