Healthcare Provider Details

I. General information

NPI: 1376471292
Provider Name (Legal Business Name): JULIE NEWELL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 S EL CAMINO REAL STE G3
SAN CLEMENTE CA
92672-4252
US

IV. Provider business mailing address

PO BOX 2063
LAGUNA HILLS CA
92654-2063
US

V. Phone/Fax

Practice location:
  • Phone: 949-264-8025
  • Fax:
Mailing address:
  • Phone: 949-264-8025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: