Provider Demographics
NPI:1891894457
Name:HARTUNG, LINDA JUNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JUNE
Last Name:HARTUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24843 DEL PRADO
Mailing Address - Street 2:184
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629
Mailing Address - Country:US
Mailing Address - Phone:714-934-4648
Mailing Address - Fax:714-934-4649
Practice Address - Street 1:405 W. 5TH STREET
Practice Address - Street 2:SUITE 212
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-834-2125
Practice Address - Fax:714-667-3968
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS173401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical