Provider Demographics
NPI:1821886342
Name:MCDONNELL, JULIA GRACE (LMFT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:GRACE
Last Name:MCDONNELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2163
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-0163
Mailing Address - Country:US
Mailing Address - Phone:760-613-8961
Mailing Address - Fax:
Practice Address - Street 1:25592 ALTURA
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-4322
Practice Address - Country:US
Practice Address - Phone:760-613-8961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151717106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist