Provider Demographics
NPI:1083868442
Name:DEKUEHN, JUDY JO (LPC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:JO
Last Name:DEKUEHN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 SKIVUE DR
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-1514
Mailing Address - Country:US
Mailing Address - Phone:940-300-9933
Mailing Address - Fax:
Practice Address - Street 1:2765 SKIVUE DR
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-1514
Practice Address - Country:US
Practice Address - Phone:940-300-9933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health