Provider Demographics
NPI:1598981177
Name:WESTBROOK, JULIA CARTER (MED, EDS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:CARTER
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:MED, EDS, LMFT
Other - Prefix:MRS
Other - First Name:JULIA(JUDY)
Other - Middle Name:ANNE
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, EDS, LMFT
Mailing Address - Street 1:141 GREENVILLE ST SW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3810
Mailing Address - Country:US
Mailing Address - Phone:803-648-2052
Mailing Address - Fax:803-648-2052
Practice Address - Street 1:141 GREENVILLE ST SW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3810
Practice Address - Country:US
Practice Address - Phone:803-648-2052
Practice Address - Fax:803-648-2052
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC49106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist