Provider Demographics
NPI:1538272562
Name:HUETE-LEHMAN, CAROLINA (MA, MFT)
Entity type:Individual
Prefix:MS
First Name:CAROLINA
Middle Name:
Last Name:HUETE-LEHMAN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 REDESDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-3058
Mailing Address - Country:US
Mailing Address - Phone:323-668-0030
Mailing Address - Fax:323-668-0506
Practice Address - Street 1:138 N BRAND BLVD
Practice Address - Street 2:300
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4614
Practice Address - Country:US
Practice Address - Phone:818-545-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 23972106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT 23972OtherMARRIAGE/FAMILY THERAPIST