Provider Demographics
NPI:1184175465
Name:JULIE HARBUTTE, LCSW
Entity type:Organization
Organization Name:JULIE HARBUTTE, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARBUTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-340-6794
Mailing Address - Street 1:1801 S CATALINA AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5513
Mailing Address - Country:US
Mailing Address - Phone:562-340-6794
Mailing Address - Fax:
Practice Address - Street 1:1801 S CATALINA AVE STE 306
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5513
Practice Address - Country:US
Practice Address - Phone:562-340-6794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty