Provider Demographics
NPI:1942419809
Name:WOLF, JULIA G (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:G
Last Name:WOLF
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 WILLOWBEND BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3825
Mailing Address - Country:US
Mailing Address - Phone:713-824-3706
Mailing Address - Fax:
Practice Address - Street 1:4100 WESTHEIMER RD
Practice Address - Street 2:SUITE 233
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4400
Practice Address - Country:US
Practice Address - Phone:713-963-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11520101YP2500X
TX3783106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional