Provider Demographics
NPI:1548386022
Name:HONTER, CYNTHIA H (MFCC MFT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:H
Last Name:HONTER
Suffix:
Gender:F
Credentials:MFCC MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 E THOUSAND OAKS BLVD
Mailing Address - Street 2:#215
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362
Mailing Address - Country:US
Mailing Address - Phone:805-494-6635
Mailing Address - Fax:805-496-1638
Practice Address - Street 1:4055 E THOUSAND OAKS BLVD
Practice Address - Street 2:#215
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362
Practice Address - Country:US
Practice Address - Phone:805-494-6635
Practice Address - Fax:805-496-1638
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMI 11777106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist