Provider Demographics
NPI:1396089041
Name:HOUT, LAURA ANN (MFTI)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:HOUT
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5276 HOLLISTER AVE STE 457
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-4005
Mailing Address - Country:US
Mailing Address - Phone:805-403-9585
Mailing Address - Fax:
Practice Address - Street 1:5276 HOLLISTER AVE STE 457
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93111-4005
Practice Address - Country:US
Practice Address - Phone:805-403-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85481106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist