Provider Demographics
NPI:1891448544
Name:BUCHHOLD, LOUIS (LMFT, EDDCP)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:
Last Name:BUCHHOLD
Suffix:
Gender:M
Credentials:LMFT, EDDCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 HAVENHURST DR # 406
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6002
Mailing Address - Country:US
Mailing Address - Phone:909-695-2042
Mailing Address - Fax:
Practice Address - Street 1:12724 MONTE VISTA AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3375
Practice Address - Country:US
Practice Address - Phone:909-695-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT40266106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist