Provider Demographics
NPI:1235459314
Name:UNG, JULIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:UNG
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 1:10112 LAMB BROOK LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2257
Mailing Address - Country:US
Mailing Address - Phone:281-455-1739
Mailing Address - Fax:
Practice Address - Street 1:10112 LAMB BROOK LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2257
Practice Address - Country:US
Practice Address - Phone:281-455-1739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64363101YP2500X
TX201258106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist