Provider Demographics
NPI:1952558405
Name:JULIAN, JAMES G (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:JULIAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 OLD POVERTY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-1768
Mailing Address - Country:US
Mailing Address - Phone:203-262-1751
Mailing Address - Fax:
Practice Address - Street 1:52 OLD POVERTY RD
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-1768
Practice Address - Country:US
Practice Address - Phone:203-262-1751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health