Provider Demographics
NPI:1508303645
Name:SCHROEDER, JULIANNE (LPC, NCC)
Entity Type:Individual
Prefix:MISS
First Name:JULIANNE
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 N COLLINS BLVD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3566
Mailing Address - Country:US
Mailing Address - Phone:469-573-2672
Mailing Address - Fax:469-248-3635
Practice Address - Street 1:1702 N. COLLINS
Practice Address - Street 2:SUITE 190
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3665
Practice Address - Country:US
Practice Address - Phone:469-573-2672
Practice Address - Fax:469-248-3635
Is Sole Proprietor?:No
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74098101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional