Provider Demographics
NPI:1578744587
Name:ISBELL, JUANITA JUNE (LMFT, LSSP, NCSP)
Entity Type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:JUNE
Last Name:ISBELL
Suffix:
Gender:F
Credentials:LMFT, LSSP, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 35TH ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-4513
Mailing Address - Country:US
Mailing Address - Phone:325-573-3379
Mailing Address - Fax:325-573-3379
Practice Address - Street 1:2601 35TH ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-4513
Practice Address - Country:US
Practice Address - Phone:325-573-3379
Practice Address - Fax:325-573-3379
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45318106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist