Provider Demographics
NPI:1982813085
Name:HUGHES, JULIA DIANNE DIANNE (LADC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JULIA DIANNE
Middle Name:DIANNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LADC, LPC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:DIANNE
Other - Last Name:DEVINNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 N. 7TH
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037
Mailing Address - Country:US
Mailing Address - Phone:918-299-3596
Mailing Address - Fax:
Practice Address - Street 1:550 S. PEORIA AVENUE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-3825
Practice Address - Country:US
Practice Address - Phone:918-382-1246
Practice Address - Fax:918-582-6405
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK111101YA0400X
OK2844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional