Provider Demographics
NPI:1225244262
Name:MCHUGH, TERI MICHELLE (LMFT)
Entity Type:Individual
Prefix:DR
First Name:TERI
Middle Name:MICHELLE
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CARMEN DR STE 111
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3103
Mailing Address - Country:US
Mailing Address - Phone:310-203-1377
Mailing Address - Fax:805-987-7006
Practice Address - Street 1:462 N LINDEN DR STE 333E
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2206
Practice Address - Country:US
Practice Address - Phone:310-203-1377
Practice Address - Fax:805-987-7006
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist