Provider Demographics
NPI:1417327842
Name:JULIAN, ADRIAN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:JULIAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 ERNEST ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-8406
Mailing Address - Country:US
Mailing Address - Phone:337-431-7194
Mailing Address - Fax:337-431-7198
Practice Address - Street 1:2711 ERNEST ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8406
Practice Address - Country:US
Practice Address - Phone:337-431-7194
Practice Address - Fax:337-431-7198
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health