Provider Demographics
NPI:1013358977
Name:NICODEMUS JONES, JULIE (LMFT, LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:NICODEMUS JONES
Suffix:
Gender:F
Credentials:LMFT, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16222 DUNMOOR DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3902
Mailing Address - Country:US
Mailing Address - Phone:281-253-0045
Mailing Address - Fax:
Practice Address - Street 1:16222 DUNMOOR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-3902
Practice Address - Country:US
Practice Address - Phone:281-253-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64441101YP2500X
101YS0200X
TX201251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool