Provider Demographics
NPI:1164043923
Name:AGUIRRE-ORCUTT, JULIE (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:AGUIRRE-ORCUTT
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4921
Mailing Address - Country:US
Mailing Address - Phone:214-395-3855
Mailing Address - Fax:
Practice Address - Street 1:9901 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4921
Practice Address - Country:US
Practice Address - Phone:214-395-3855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health