Provider Demographics
NPI:1720179922
Name:HUGHART-CRUTCHFIELD, LAURA KATHERINE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KATHERINE
Last Name:HUGHART-CRUTCHFIELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:KATHERINE
Other - Last Name:CRUTCHFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:260 MAPLE COURT
Mailing Address - Street 2:SUITE 130
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-9121
Mailing Address - Country:US
Mailing Address - Phone:805-377-5654
Mailing Address - Fax:805-642-5836
Practice Address - Street 1:260 MAPLE COURT
Practice Address - Street 2:SUITE 130
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9121
Practice Address - Country:US
Practice Address - Phone:805-377-5654
Practice Address - Fax:805-642-5836
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT35534106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist