Provider Demographics
NPI:1295325637
Name:BRAUN, JULIA ANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANNE
Last Name:BRAUN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:FREDRIKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2716 MURPHY DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-4936
Mailing Address - Country:US
Mailing Address - Phone:817-583-2894
Mailing Address - Fax:
Practice Address - Street 1:2716 MURPHY DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-4936
Practice Address - Country:US
Practice Address - Phone:817-583-2894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82099101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health