Provider Demographics
NPI:1538106364
Name:HOUTZ, MAUREEN T (M A, MFT)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:T
Last Name:HOUTZ
Suffix:
Gender:F
Credentials:M A, MFT
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:TYNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1858 ROGUE RIVER CIR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-3104
Mailing Address - Country:US
Mailing Address - Phone:805-794-4755
Mailing Address - Fax:
Practice Address - Street 1:119 FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2756
Practice Address - Country:US
Practice Address - Phone:805-794-4755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC21945106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist