Provider Demographics
NPI:1396390860
Name:BOURCIER, JULIA RACHAEL (LPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RACHAEL
Last Name:BOURCIER
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 1:300 S WATTERS RD APT 323
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6513
Mailing Address - Country:US
Mailing Address - Phone:903-720-1034
Mailing Address - Fax:
Practice Address - Street 1:300 S WATTERS RD APT 323
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6513
Practice Address - Country:US
Practice Address - Phone:903-720-1034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75987101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health