Provider Demographics
NPI:1154877868
Name:ABUZUAITER, JULIANNE KIESEL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:KIESEL
Last Name:ABUZUAITER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:MARY
Other - Last Name:KIESEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4752 BARRINGTON PLACE CT
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-7975
Mailing Address - Country:US
Mailing Address - Phone:336-404-5201
Mailing Address - Fax:
Practice Address - Street 1:4752 BARRINGTON PLACE CT
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-7975
Practice Address - Country:US
Practice Address - Phone:336-404-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0122901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical