| Doctor Name: | MS. DENISE LOUISE NEWMAN |
| NPI Number: | 1457491581 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N0905211011 |
| License Number: | N0905211011 |
| Business Practice Address: | 6302 13th Street Lucerne, CA - 95458 |
| Business Phone Number: | 7072749101 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5483, 3785 Pearl Ave. CLEARLAKE |
| State: | CA |
| Postal Code: | 95422 |
| Phone Number: | 7079951665 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | N0905211011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |