Provider Demographics
NPI:1437362712
Name:BRAUNLICH, JULIE CATHERINE (LMSW, CPC-R)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:CATHERINE
Last Name:BRAUNLICH
Suffix:
Gender:F
Credentials:LMSW, CPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-3745
Mailing Address - Country:US
Mailing Address - Phone:734-649-0097
Mailing Address - Fax:
Practice Address - Street 1:2755 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1186
Practice Address - Country:US
Practice Address - Phone:734-975-0499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010871481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical