Provider Demographics
NPI:1568839405
Name:HUEY, JOHN CHRISTOPHER (CATC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:HUEY
Suffix:
Gender:M
Credentials:CATC
Other - Prefix:MR
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:HUEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CATC
Mailing Address - Street 1:1911 WILLIAMS DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2612
Mailing Address - Country:US
Mailing Address - Phone:805-981-5479
Mailing Address - Fax:
Practice Address - Street 1:1911 WILLIAMS DR
Practice Address - Street 2:SUITE C
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2612
Practice Address - Country:US
Practice Address - Phone:805-981-5479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102410I101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)