Provider Demographics
NPI:1043416738
Name:HUGHES, LAURA MARIA (MFT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MARIA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1746 S VICTORIA AVE STE F PMB 205
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6190
Mailing Address - Country:US
Mailing Address - Phone:805-642-3661
Mailing Address - Fax:805-659-3265
Practice Address - Street 1:3585 MAPLE ST
Practice Address - Street 2:265
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3504
Practice Address - Country:US
Practice Address - Phone:805-642-3661
Practice Address - Fax:805-659-3265
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 14135106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist