Provider Demographics
NPI:1679898456
Name:ARCHER, JULIA KATHLEEN (LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:KATHLEEN
Last Name:ARCHER
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2211 NORFOLK ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4096
Mailing Address - Country:US
Mailing Address - Phone:713-489-8888
Mailing Address - Fax:713-526-0212
Practice Address - Street 1:2211 NORFOLK ST
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4096
Practice Address - Country:US
Practice Address - Phone:713-489-8888
Practice Address - Fax:713-526-0212
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS35841041C0700X
TX561531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical