Healthcare Provider Details

I. General information

NPI: 1992272843
Provider Name (Legal Business Name): JULIA ROSE MCMULLEN KHARKAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA ROSE MCMULLEN

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8987 HIGHTAIL DR
SANTEE CA
92071-2063
US

IV. Provider business mailing address

8987 HIGHTAIL DR
SANTEE CA
92071-2063
US

V. Phone/Fax

Practice location:
  • Phone: 603-546-5200
  • Fax:
Mailing address:
  • Phone: 603-546-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107562
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: