Provider Demographics
NPI:1518939222
Name:CANO, JULIAN (SOCIAL WORKER)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:
Last Name:CANO
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:JULIAN
Other - Middle Name:
Other - Last Name:CANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:114 HUNTERS BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1207
Mailing Address - Country:US
Mailing Address - Phone:210-473-8172
Mailing Address - Fax:
Practice Address - Street 1:114 HUNTERS BRANCH ST
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1207
Practice Address - Country:US
Practice Address - Phone:210-473-8172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00433101YP2500X
TX41601041C0700X
TX004122106H00000X
TX11082101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)