Provider Demographics
NPI:1801131362
Name:OVERLIN, JULIA MARIE (MS LPCC NCC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:OVERLIN
Suffix:
Gender:F
Credentials:MS LPCC NCC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MARIE
Other - Last Name:FELIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:527 CLAYDELLE AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-6002
Mailing Address - Country:US
Mailing Address - Phone:619-635-9558
Mailing Address - Fax:619-354-2998
Practice Address - Street 1:266 S MAGNOLIA AVE STE 203
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4530
Practice Address - Country:US
Practice Address - Phone:619-635-9558
Practice Address - Fax:619-354-2998
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 390200000X
CA7467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program