Provider Demographics
NPI:1184993628
Name:UHL, JULIE LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNN
Last Name:UHL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 BUCKEYE ST
Mailing Address - Street 2:PO BOX 1841
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-3944
Mailing Address - Country:US
Mailing Address - Phone:951-737-2683
Mailing Address - Fax:
Practice Address - Street 1:FIFTH AND WESTERN
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-3944
Practice Address - Country:US
Practice Address - Phone:951-737-6283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical