Provider Demographics
NPI:1457491581
Name:NEWMAN, DENISE LOUISE (CADC II)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:LOUISE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:15230 LAKESHORE DRIVE SUITE 102
Mailing Address - Street 2:
Mailing Address - City:CLEARLAKE
Mailing Address - State:CA
Mailing Address - Zip Code:95422
Mailing Address - Country:US
Mailing Address - Phone:707-995-5844
Mailing Address - Fax:707-995-4343
Practice Address - Street 1:15230 LAKESHORE DRIVE SUITE 102
Practice Address - Street 2:
Practice Address - City:CLEARLAKE
Practice Address - State:CA
Practice Address - Zip Code:95422
Practice Address - Country:US
Practice Address - Phone:707-995-5844
Practice Address - Fax:707-995-4343
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1711370II101YA0400X
CA171137011101YA0400X
CAAII058800618101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)