Provider Demographics
NPI:1326422197
Name:MCMANUS, JULIE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:MCMANUS
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 1:888 CARRELL RD
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-4770
Mailing Address - Country:US
Mailing Address - Phone:936-414-4088
Mailing Address - Fax:
Practice Address - Street 1:888 CARRELL RD
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-4770
Practice Address - Country:US
Practice Address - Phone:936-414-4088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-11
Last Update Date:2015-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70842101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional