Individual
MRS. JULIE MARIE LACUBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1653 SHADY PINE ROAD, CHARLESTON, SC 29414
(803) 960-1267
(843) 760-1153
Mailing address
1653 SHADY PINE ROAD, CHARLESTON, SC 29414
(803) 960-1267
(843) 760-1153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4517
SC
Other
Enumeration date
01/27/2011
Last updated
09/19/2019
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