Provider Demographics
NPI:1407966294
Name:GUTFREUND, NANCY (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:GUTFREUND
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 1:962 MIRAMONTE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1314
Mailing Address - Country:US
Mailing Address - Phone:805-966-9683
Mailing Address - Fax:805-560-6969
Practice Address - Street 1:952 MIRAMONTE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1307
Practice Address - Country:US
Practice Address - Phone:805-966-9683
Practice Address - Fax:805-560-6969
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 12666106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist