Provider Demographics
NPI:1972932812
Name:HUNNICUTT, JULIANNE C (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:C
Last Name:HUNNICUTT
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4626
Mailing Address - Country:US
Mailing Address - Phone:830-890-5823
Mailing Address - Fax:830-890-5824
Practice Address - Street 1:950 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4626
Practice Address - Country:US
Practice Address - Phone:830-890-5823
Practice Address - Fax:830-890-5824
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11047101YA0400X
TX66010101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)