Provider Demographics
NPI:1952464323
Name:EULERT, JULIANA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:
Last Name:EULERT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:DR
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:FONTANALS DE EULERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:93 AVENIDA DE LA PAZ
Mailing Address - Street 2:
Mailing Address - City:LAMY
Mailing Address - State:NM
Mailing Address - Zip Code:87540-9655
Mailing Address - Country:US
Mailing Address - Phone:505-289-7115
Mailing Address - Fax:
Practice Address - Street 1:93 AVENIDA DE LA PAZ
Practice Address - Street 2:
Practice Address - City:LAMY
Practice Address - State:NM
Practice Address - Zip Code:87540-9655
Practice Address - Country:US
Practice Address - Phone:505-289-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17101YP2500X
NM0144961106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9609OtherMEDICAL PROVIDER NUMBER