Provider Demographics
NPI:1821711144
Name:COTTON, JULIANNA DAWN (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:DAWN
Last Name:COTTON
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 1:116 S US HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5702
Mailing Address - Country:US
Mailing Address - Phone:830-201-3028
Mailing Address - Fax:512-337-1906
Practice Address - Street 1:116 S US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5702
Practice Address - Country:US
Practice Address - Phone:830-201-3028
Practice Address - Fax:512-337-1906
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX627321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE