Provider Demographics
NPI:1225890098
Name:SHRESTHA, JUNI (LPC, LCDC-I)
Entity Type:Individual
Prefix:
First Name:JUNI
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:F
Credentials:LPC, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 SPRING GREEN BLVD
Mailing Address - Street 2:STE.408-182
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:512-693-8440
Mailing Address - Fax:
Practice Address - Street 1:2116 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5422
Practice Address - Country:US
Practice Address - Phone:512-693-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54782101YA0400X
TX87497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)