Provider Demographics
NPI:1629448568
Name:HOUGHTON, CHRISTY M (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:M
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S 850 W
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3728
Mailing Address - Country:US
Mailing Address - Phone:801-400-2855
Mailing Address - Fax:801-769-2631
Practice Address - Street 1:1159 E 200 N STE 100
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2053
Practice Address - Country:US
Practice Address - Phone:801-642-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT87757413902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist