Provider Demographics
NPI:1760561195
Name:FERRIS, JUNE A (LCSW)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:A
Last Name:FERRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W MAIN ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5808
Mailing Address - Country:US
Mailing Address - Phone:512-238-8327
Mailing Address - Fax:512-238-0251
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:SUITE 219
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5808
Practice Address - Country:US
Practice Address - Phone:512-238-8327
Practice Address - Fax:512-238-0251
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical