Basic Information
| Provider Information | |||||||||
| NPI: | 1891894457 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARTUNG | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | JUNE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24843 DEL PRADO | ||||||||
| Address2: | 184 | ||||||||
| City: | DANA POINT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7149344648 | ||||||||
| FaxNumber: | 7149344649 | ||||||||
| Practice Location | |||||||||
| Address1: | 405 W. 5TH STREET | ||||||||
| Address2: | SUITE 212 | ||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148342125 | ||||||||
| FaxNumber: | 7146673968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCS17340 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.