Provider Demographics
NPI:1467962951
Name:DIGGINS, JULIE (LCDC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:DIGGINS
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 PRAIRIE HILL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3570
Mailing Address - Country:US
Mailing Address - Phone:281-960-9194
Mailing Address - Fax:
Practice Address - Street 1:1110 NASA PKWY STE 545
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3310
Practice Address - Country:US
Practice Address - Phone:281-960-9194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13313101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)