Provider Demographics
NPI:1245695394
Name:REMALA-HANLEY, JULIA (LMFT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:REMALA-HANLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:REMALA-HANLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 4542
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92605-4542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 S KRAEMER BLVD
Practice Address - Street 2:STE 110
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6105
Practice Address - Country:US
Practice Address - Phone:562-921-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC90757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist