Provider Demographics
NPI:1225554686
Name:HOUCHIN, LOUISE ZERVAS (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:ZERVAS
Last Name:HOUCHIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:ZERVAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFTI
Mailing Address - Street 1:170 S SPRUCE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-4557
Mailing Address - Country:US
Mailing Address - Phone:415-972-9797
Mailing Address - Fax:650-620-9549
Practice Address - Street 1:170 S SPRUCE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-4557
Practice Address - Country:US
Practice Address - Phone:415-312-1426
Practice Address - Fax:650-620-9549
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113358106H00000X, 106H00000X
CA79222390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program