Most Relevant Information
Provider Data
| NPI Number: | 1003292400 |
| Provider Name: | JULIE BAINES LPC, LCDC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 70266 |
Most Important Dates
| Enumeration Date: | 08/07/2015 |
| Last Updated: | 08/07/2015 |
Provider Practice Location
4702 ROWLETT RD
SUITE 101
ROWLETT
TX
750881703
Practice Location Phone/Fax
| Phone: | 9729962242 |
| Fax: | 9729962245 |
Provider Mailing Location
PO BOX 299
ROWLETT
TX
750300299
Provider Mailing Phone/Fax
| Phone: | 9729962242 |
| Fax: | 9729962245 |