Provider Demographics
NPI:1760993794
Name:SCHAFFER, JULIE RAQUEL (LPCC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:RAQUEL
Last Name:SCHAFFER
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 WESTERN CIR
Mailing Address - Street 2:
Mailing Address - City:AZTEC
Mailing Address - State:NM
Mailing Address - Zip Code:87410-2430
Mailing Address - Country:US
Mailing Address - Phone:505-516-6136
Mailing Address - Fax:
Practice Address - Street 1:411 WESTERN CIR
Practice Address - Street 2:
Practice Address - City:AZTEC
Practice Address - State:NM
Practice Address - Zip Code:87410-2430
Practice Address - Country:US
Practice Address - Phone:505-516-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2025-0154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional