Provider Demographics
NPI:1093028474
Name:CEDENO, JULIA ANTONIANA (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANTONIANA
Last Name:CEDENO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14760 MEMORIAL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5251
Mailing Address - Country:US
Mailing Address - Phone:832-303-8933
Mailing Address - Fax:
Practice Address - Street 1:14760 MEMORIAL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5251
Practice Address - Country:US
Practice Address - Phone:832-303-8933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51329104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker