Provider Demographics
NPI:1174849475
Name:AUERBACH, JULIANNE (LCPC, LMFT, LAC)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:LCPC, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 UNIVERSITY WAY
Mailing Address - Street 2:CLC 220
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-4932
Mailing Address - Country:US
Mailing Address - Phone:864-503-5536
Mailing Address - Fax:
Practice Address - Street 1:800 UNIVERSITY WAY
Practice Address - Street 2:CLC 220
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4932
Practice Address - Country:US
Practice Address - Phone:864-503-5536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1341101YA0400X
MT1583-LCPC101YP2500X
MT139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist