Provider Demographics
NPI:1922516350
Name:KING, DJUANA ALYCE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DJUANA
Middle Name:ALYCE
Last Name:KING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DJUANA
Other - Middle Name:ALYCE
Other - Last Name:EAGLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8333 BRAESMAIN DR APT 1342
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2949
Mailing Address - Country:US
Mailing Address - Phone:832-724-8428
Mailing Address - Fax:
Practice Address - Street 1:8333 BRAESMAIN DR APT 1342
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2949
Practice Address - Country:US
Practice Address - Phone:832-724-8428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-19
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional